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                 { "code": "78804", "type": "CPT" } ],"standard_charges":[{"minimum":125.6100,"maximum":603.1700,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":603.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":595.7500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":603.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":603.1700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":594.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":603.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":125.6100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":595.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":603.1700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":579.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":426.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":603.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":579.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":603.1700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":603.1700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":603.1700,"methodology":"fee schedule"}]}]},{"description":"Basic Metabolic Pnl Total Ca","code_information":[
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                 { "code": "80055", "type": "CPT" } ],"standard_charges":[{"minimum":45.0000,"maximum":59.0200,"gross_charge":221.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":47.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":53.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":47.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":47.8100,"methodology":"fee schedule"}]}]},{"description":"Lipid Panel","code_information":[
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                 { "code": "80186", "type": "CPT" } ],"standard_charges":[{"minimum":13.7600,"maximum":20.0000,"gross_charge":78.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.7600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.9800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.7600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.2900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Primidone","code_information":[
                 { "code": "80188", "type": "CPT" } ],"standard_charges":[{"minimum":15.8300,"maximum":23.3500,"gross_charge":58.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.5900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.3500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.3500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.3500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.3500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.5900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Procainamide","code_information":[
                 { "code": "80190", "type": "CPT" } ],"standard_charges":[{"minimum":15.9700,"maximum":60.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.9700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Procainamide","code_information":[
                 { "code": "80192", "type": "CPT" } ],"standard_charges":[{"minimum":16.7500,"maximum":70.0000,"gross_charge":114.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.7500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Quinidine","code_information":[
                 { "code": "80194", "type": "CPT" } ],"standard_charges":[{"minimum":13.9200,"maximum":25.0000,"gross_charge":55.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.9200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.6000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Tacrolimus","code_information":[
                 { "code": "80197", "type": "CPT" } ],"standard_charges":[{"minimum":13.7300,"maximum":150.0000,"gross_charge":228.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.7300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Theophylline","code_information":[
                 { "code": "80198", "type": "CPT" } ],"standard_charges":[{"minimum":13.4900,"maximum":20.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.7100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":19.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.9100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.9100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.9100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":19.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.1400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Tobramycin","code_information":[
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                 { "code": "82024", "type": "CPT" } ],"standard_charges":[{"minimum":36.8300,"maximum":115.0000,"gross_charge":321.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":54.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":38.6200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":38.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":54.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":42.9100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":54.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":54.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":54.3500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":54.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":38.6200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":38.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":54.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":54.3500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":54.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":54.3500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":54.3500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":115.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Adp  Amp","code_information":[
                 { "code": "82030", "type": "CPT" } ],"standard_charges":[{"minimum":24.6000,"maximum":36.3000,"gross_charge":42.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":36.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":36.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":36.3000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":36.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":36.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":36.3000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.3000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":36.3000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":36.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.3000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serum Albumin","code_information":[
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                 { "code": "82042", "type": "CPT" } ],"standard_charges":[{"minimum":3.9000,"maximum":7.7800,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"}]}]},{"description":"Ur Albumin Quantitative","code_information":[
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                 { "code": "82075", "type": "CPT" } ],"standard_charges":[{"minimum":11.4900,"maximum":30.0000,"gross_charge":93.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Aldolase","code_information":[
                 { "code": "82085", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":13.6600,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.7900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Aldosterone","code_information":[
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                 { "code": "82140", "type": "CPT" } ],"standard_charges":[{"minimum":12.7500,"maximum":17.9900,"gross_charge":64.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.5700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.5700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"}]}]},{"description":"Amniotic Fluid Scan","code_information":[
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                 { "code": "82150", "type": "CPT" } ],"standard_charges":[{"minimum":6.1800,"maximum":10.4000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.1800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Androstanediol Glucuronide","code_information":[
                 { "code": "82154", "type": "CPT" } ],"standard_charges":[{"minimum":28.8300,"maximum":130.0000,"gross_charge":156.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":40.5700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":31.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":31.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.8300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.5700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":40.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":40.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.5700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":40.5700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":40.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":40.5700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":40.5700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":40.5700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Androstenedione","code_information":[
                 { "code": "82157", "type": "CPT" } ],"standard_charges":[{"minimum":27.9200,"maximum":50.0000,"gross_charge":289.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":27.9200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Androsterone","code_information":[
                 { "code": "82160", "type": "CPT" } ],"standard_charges":[{"minimum":5.1900,"maximum":33.0000,"gross_charge":180.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.1900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.5500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.7800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":5.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.5500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.1900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.1900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":5.1900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.1900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.1900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Angiotensin Ii","code_information":[
                 { "code": "82163", "type": "CPT" } ],"standard_charges":[{"minimum":19.5700,"maximum":60.0000,"gross_charge":72.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.5700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.8800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":28.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.8800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":28.8800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.8800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":28.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.8800,"methodology":"fee schedule"}]}]},{"description":"Angiotensin I Enzyme Test","code_information":[
                 { "code": "82164", "type": "CPT" } ],"standard_charges":[{"minimum":13.9200,"maximum":26.0000,"gross_charge":148.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Apolipoprotein","code_information":[
                 { "code": "82172", "type": "CPT" } ],"standard_charges":[{"minimum":14.7800,"maximum":28.5000,"gross_charge":170.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.7800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.8100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Arsenic","code_information":[
                 { "code": "82175", "type": "CPT" } ],"standard_charges":[{"minimum":18.0900,"maximum":28.0000,"gross_charge":170.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.9700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.0800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.9700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.7000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ascorbic Acid","code_information":[
                 { "code": "82180", "type": "CPT" } ],"standard_charges":[{"minimum":9.4200,"maximum":13.9100,"gross_charge":64.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.8900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.4200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.8900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.9100,"methodology":"fee schedule"}]}]},{"description":"Atomic Absorption","code_information":[
                 { "code": "82190", "type": "CPT" } ],"standard_charges":[{"minimum":14.2200,"maximum":22.0000,"gross_charge":192.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.9800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":20.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.9800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":20.9800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.9800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.9800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Beta-2 Protein","code_information":[
                 { "code": "82232", "type": "CPT" } ],"standard_charges":[{"minimum":16.1800,"maximum":57.0000,"gross_charge":68.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":57.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.7600,"methodology":"fee schedule"}]}]},{"description":"Bile Acids Total","code_information":[
                 { "code": "82239", "type": "CPT" } ],"standard_charges":[{"minimum":16.3300,"maximum":25.5000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.0300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.1100,"methodology":"fee schedule"}]}]},{"description":"Bile Acids Cholylglycine","code_information":[
                 { "code": "82240", "type": "CPT" } ],"standard_charges":[{"minimum":25.3500,"maximum":70.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":26.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.5800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":41.0000,"methodology":"fee schedule"}]}]},{"description":"Bilirubin Total","code_information":[
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                 { "code": "82248", "type": "CPT" } ],"standard_charges":[{"minimum":4.7800,"maximum":9.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.7800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.0200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1900,"methodology":"fee schedule"}]}]},{"description":"Fecal Bilirubin Test","code_information":[
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                 { "code": "82271", "type": "CPT" } ],"standard_charges":[{"minimum":3.1000,"maximum":20.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":4.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.5800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.5800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":4.5800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.5800,"methodology":"fee schedule"}]}]},{"description":"Occult Bld Feces 1-3 Tests","code_information":[
                 { "code": "82272", "type": "CPT" } ],"standard_charges":[{"minimum":3.1000,"maximum":20.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.2300,"methodology":"fee schedule"}]}]},{"description":"Assay Test For Blood Fecal","code_information":[
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                 { "code": "82286", "type": "CPT" } ],"standard_charges":[{"minimum":5.1600,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.5700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.5700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.7300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cadmium","code_information":[
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                 { "code": "82370", "type": "CPT" } ],"standard_charges":[{"minimum":11.9400,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.9400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.9200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.6300,"methodology":"fee schedule"}]}]},{"description":"Assay C-d Transfer Measure","code_information":[
                 { "code": "82373", "type": "CPT" } ],"standard_charges":[{"minimum":17.2200,"maximum":80.0000,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"}]}]},{"description":"Assay Blood Carbon Dioxide","code_information":[
                 { "code": "82374", "type": "CPT" } ],"standard_charges":[{"minimum":4.6600,"maximum":12.0000,"gross_charge":16.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.4300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"}]}]},{"description":"Assay Carboxyhb Quant","code_information":[
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                 { "code": "82379", "type": "CPT" } ],"standard_charges":[{"minimum":16.8700,"maximum":25.0000,"gross_charge":181.2500,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.8700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.7400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Carotene","code_information":[
                 { "code": "82380", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":24.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Urine Catecholamines","code_information":[
                 { "code": "82382", "type": "CPT" } ],"standard_charges":[{"minimum":21.0000,"maximum":78.0000,"gross_charge":188.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":78.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"}]}]},{"description":"Assay Blood Catecholamines","code_information":[
                 { "code": "82383", "type": "CPT" } ],"standard_charges":[{"minimum":27.3100,"maximum":100.0000,"gross_charge":188.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.0800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":27.3100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.2600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":35.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":35.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.2600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.0800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.2600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":35.2600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.0800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.2600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Three Catecholamines","code_information":[
                 { "code": "82384", "type": "CPT" } ],"standard_charges":[{"minimum":25.2500,"maximum":100.0000,"gross_charge":188.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":27.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":35.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.5300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.2500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":35.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.5300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":35.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.0600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.5300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.5300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cathepsin-d","code_information":[
                 { "code": "82387", "type": "CPT" } ],"standard_charges":[{"minimum":18.0600,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.8500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.0600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ceruloplasmin","code_information":[
                 { "code": "82390", "type": "CPT" } ],"standard_charges":[{"minimum":10.7400,"maximum":30.0000,"gross_charge":58.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.9300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Chemiluminescent Assay","code_information":[
                 { "code": "82397", "type": "CPT" } ],"standard_charges":[{"minimum":14.1200,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.8800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.8800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":19.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.8800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":19.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.8800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Chloramphenicol","code_information":[
                 { "code": "82415", "type": "CPT" } ],"standard_charges":[{"minimum":12.6700,"maximum":48.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.7900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.0800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Chloride","code_information":[
                 { "code": "82435", "type": "CPT" } ],"standard_charges":[{"minimum":4.3800,"maximum":6.4700,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.1100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Chloride","code_information":[
                 { "code": "82436", "type": "CPT" } ],"standard_charges":[{"minimum":3.9000,"maximum":7.0700,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Other Fluid Chlorides","code_information":[
                 { "code": "82438", "type": "CPT" } ],"standard_charges":[{"minimum":4.6600,"maximum":6.8800,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.4300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"}]}]},{"description":"Test For Chlorohydrocarbons","code_information":[
                 { "code": "82441", "type": "CPT" } ],"standard_charges":[{"minimum":5.7300,"maximum":35.0000,"gross_charge":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.7300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":8.4500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.4500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.4500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":8.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.6700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.4500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.4500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Bld\/serum Cholesterol","code_information":[
                 { "code": "82465", "type": "CPT" } ],"standard_charges":[{"minimum":4.1400,"maximum":7.0000,"gross_charge":29.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.1300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.1400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.1300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.8400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1300,"methodology":"fee schedule"}]}]},{"description":"Assay Serum Cholinesterase","code_information":[
                 { "code": "82480", "type": "CPT" } ],"standard_charges":[{"minimum":7.8700,"maximum":55.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.8700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.8700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":11.0900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.0900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.0900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":11.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.0900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.0900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Rbc Cholinesterase","code_information":[
                 { "code": "82482", "type": "CPT" } ],"standard_charges":[{"minimum":7.3200,"maximum":35.0000,"gross_charge":119.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.8100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.8100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.8100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.8100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.8100,"methodology":"fee schedule"}]}]},{"description":"Assay Chondroitin Sulfate","code_information":[
                 { "code": "82485", "type": "CPT" } ],"standard_charges":[{"minimum":19.6900,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":29.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.6500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.6900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.6500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":29.0600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":29.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.0600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":29.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.9500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.0600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.0600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Chromium","code_information":[
                 { "code": "82495", "type": "CPT" } ],"standard_charges":[{"minimum":20.2800,"maximum":60.0000,"gross_charge":72.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":22.0800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.2800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.5300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.5400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Citrate","code_information":[
                 { "code": "82507", "type": "CPT" } ],"standard_charges":[{"minimum":27.8000,"maximum":71.0000,"gross_charge":208.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":39.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":27.8000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":71.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":39.1300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":39.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":39.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":71.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":39.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":39.1300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":39.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.8900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":39.1300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"}]}]},{"description":"Collagen Crosslinks","code_information":[
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                 { "code": "82525", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":31.0000,"gross_charge":64.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.4100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.2100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.4100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.7900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.4600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Corticosterone","code_information":[
                 { "code": "82528", "type": "CPT" } ],"standard_charges":[{"minimum":22.5200,"maximum":31.6800,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":31.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":31.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":22.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.5100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":22.5200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":31.6800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.6800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":31.6800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":31.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":31.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.6800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.0200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":31.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":31.6800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":31.6800,"methodology":"fee schedule"}]}]},{"description":"Cortisol Free","code_information":[
                 { "code": "82530", "type": "CPT" } ],"standard_charges":[{"minimum":15.9300,"maximum":30.0000,"gross_charge":164.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.7100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.5200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.7100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.5200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.7100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.5700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.5200,"methodology":"fee schedule"}]}]},{"description":"Total Cortisol","code_information":[
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                 { "code": "82542", "type": "CPT" } ],"standard_charges":[{"minimum":24.0900,"maximum":24.8200,"gross_charge":143.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.0900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":24.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.0900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.0900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.8200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.0900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.8200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":24.8200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ck (cpk)","code_information":[
                 { "code": "82550", "type": "CPT" } ],"standard_charges":[{"minimum":6.2100,"maximum":15.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.5100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.2100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.5100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":8.0400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cpk In Blood","code_information":[
                 { "code": "82552", "type": "CPT" } ],"standard_charges":[{"minimum":12.7800,"maximum":22.0000,"gross_charge":72.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"}]}]},{"description":"Creatine Mb Fraction","code_information":[
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                 { "code": "82570", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":6.3900,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Creatinine","code_information":[
                 { "code": "82575", "type": "CPT" } ],"standard_charges":[{"minimum":5.1200,"maximum":11.6700,"gross_charge":64.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.0200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cryofibrinogen","code_information":[
                 { "code": "82585", "type": "CPT" } ],"standard_charges":[{"minimum":8.1800,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.0700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":12.0700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.0700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.0700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":12.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.0700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cryoglobulin","code_information":[
                 { "code": "82595", "type": "CPT" } ],"standard_charges":[{"minimum":6.0000,"maximum":9.1100,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.1800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":9.1100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cyanide","code_information":[
                 { "code": "82600", "type": "CPT" } ],"standard_charges":[{"minimum":18.5000,"maximum":33.5000,"gross_charge":81.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":33.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.5500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.3000,"methodology":"fee schedule"}]}]},{"description":"Vitamin B-12","code_information":[
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                 { "code": "82610", "type": "CPT" } ],"standard_charges":[{"minimum":18.5200,"maximum":19.1300,"gross_charge":238.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"}]}]},{"description":"Test For Urine Cystines","code_information":[
                 { "code": "82615", "type": "CPT" } ],"standard_charges":[{"minimum":7.7800,"maximum":45.0000,"gross_charge":200.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"}]}]},{"description":"Dehydroepiandrosterone","code_information":[
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                 { "code": "82634", "type": "CPT" } ],"standard_charges":[{"minimum":27.9200,"maximum":117.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":27.9200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":117.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":41.2000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Dibucaine Number","code_information":[
                 { "code": "82638", "type": "CPT" } ],"standard_charges":[{"minimum":12.2500,"maximum":50.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.2300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":17.2300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.2300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.6100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":17.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.2300,"methodology":"fee schedule"}]}]},{"description":"Vit D 1 25-dihydroxy","code_information":[
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                 { "code": "82656", "type": "CPT" } ],"standard_charges":[{"minimum":11.5300,"maximum":11.5300,"gross_charge":598.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.5300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Erythropoietin","code_information":[
                 { "code": "82668", "type": "CPT" } ],"standard_charges":[{"minimum":18.7900,"maximum":68.0000,"gross_charge":157.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":26.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.7900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.7900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":61.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":26.4600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":26.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":26.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.4600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":26.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.4600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Total Estradiol","code_information":[
                 { "code": "82670", "type": "CPT" } ],"standard_charges":[{"minimum":26.6400,"maximum":66.0000,"gross_charge":234.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.9400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":39.3200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.9400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":39.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":39.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":27.9400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":39.3200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":66.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":39.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":39.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":39.3200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":39.3200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Estrogens","code_information":[
                 { "code": "82671", "type": "CPT" } ],"standard_charges":[{"minimum":27.7300,"maximum":214.0000,"gross_charge":184.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":40.9100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.9100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.3000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":40.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":32.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":27.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":40.9100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":214.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":40.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":40.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":40.9100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.8900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":40.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":40.9100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Estrogen","code_information":[
                 { "code": "82672", "type": "CPT" } ],"standard_charges":[{"minimum":20.6900,"maximum":62.0000,"gross_charge":184.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.7000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.5300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.7000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.6900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":30.5300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":30.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.5300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":30.5300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Estriol","code_information":[
                 { "code": "82677", "type": "CPT" } ],"standard_charges":[{"minimum":23.0600,"maximum":46.0000,"gross_charge":244.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":34.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":34.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.1800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.1800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.1800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":34.0300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":46.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":34.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":34.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.8700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":34.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":34.0300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Estrone","code_information":[
                 { "code": "82679", "type": "CPT" } ],"standard_charges":[{"minimum":24.9500,"maximum":54.0000,"gross_charge":260.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.9500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.9500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.9500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.6000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":54.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ethylene Glycol","code_information":[
                 { "code": "82693", "type": "CPT" } ],"standard_charges":[{"minimum":14.9000,"maximum":40.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.9600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.9600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":20.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.9600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.9600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.9600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":20.9600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Etiocholanolone","code_information":[
                 { "code": "82696", "type": "CPT" } ],"standard_charges":[{"minimum":22.4800,"maximum":70.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":33.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":33.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.2400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":33.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":26.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":22.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":33.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":33.1900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":33.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.1900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.2400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":33.1900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":33.1900,"methodology":"fee schedule"}]}]},{"description":"Fats\/lipids Feces Qual","code_information":[
                 { "code": "82705", "type": "CPT" } ],"standard_charges":[{"minimum":4.8500,"maximum":7.1600,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.1600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":7.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.1600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.1600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":7.1600,"methodology":"fee schedule"}]}]},{"description":"Fats\/lipids Feces Quant","code_information":[
                 { "code": "82710", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":19.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.6700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Fatty Acids","code_information":[
                 { "code": "82725", "type": "CPT" } ],"standard_charges":[{"minimum":12.6900,"maximum":35.0000,"gross_charge":64.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.7400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.6900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.7400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.7400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.7400,"methodology":"fee schedule"}]}]},{"description":"Long Chain Fatty Acids","code_information":[
                 { "code": "82726", "type": "CPT" } ],"standard_charges":[{"minimum":17.2200,"maximum":300.0000,"gross_charge":360.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.7500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.0600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ferritin","code_information":[
                 { "code": "82728", "type": "CPT" } ],"standard_charges":[{"minimum":13.0000,"maximum":22.0000,"gross_charge":51.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.6300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.8300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Fetal Fibronectin","code_information":[
                 { "code": "82731", "type": "CPT" } ],"standard_charges":[{"minimum":30.0000,"maximum":153.5600,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":90.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":90.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":64.4100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":90.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":64.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":64.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":153.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":64.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":90.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":90.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":90.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":90.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":90.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":71.5700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":90.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":90.6400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Fluoride","code_information":[
                 { "code": "82735", "type": "CPT" } ],"standard_charges":[{"minimum":18.5400,"maximum":145.0000,"gross_charge":174.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":26.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.0900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":26.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.1800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":26.0900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":145.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":26.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.0900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.0900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.0900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":26.0900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Folic Acid Serum","code_information":[
                 { "code": "82746", "type": "CPT" } ],"standard_charges":[{"minimum":9.7500,"maximum":20.0000,"gross_charge":72.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.1500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Folic Acid Rbc","code_information":[
                 { "code": "82747", "type": "CPT" } ],"standard_charges":[{"minimum":17.6500,"maximum":24.3800,"gross_charge":72.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.6500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.6500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.6500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.3800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Semen Fructose","code_information":[
                 { "code": "82757", "type": "CPT" } ],"standard_charges":[{"minimum":16.5300,"maximum":40.0000,"gross_charge":212.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.3400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.4100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":24.4100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.4100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":24.4100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Rbc Galactokinase","code_information":[
                 { "code": "82759", "type": "CPT" } ],"standard_charges":[{"minimum":20.4900,"maximum":30.2300,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.4800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.4800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.4800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.8700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.2300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Galactose","code_information":[
                 { "code": "82760", "type": "CPT" } ],"standard_charges":[{"minimum":9.7500,"maximum":15.7500,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.2000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.7500,"methodology":"fee schedule"}]}]},{"description":"Assay Galactose Transferase","code_information":[
                 { "code": "82775", "type": "CPT" } ],"standard_charges":[{"minimum":20.0900,"maximum":30.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.0700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.6400,"methodology":"fee schedule"}]}]},{"description":"Galactose Transferase Test","code_information":[
                 { "code": "82776", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":30.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":11.8000,"methodology":"fee schedule"}]}]},{"description":"Assay Iga\/igd\/igg\/igm Each","code_information":[
                 { "code": "82784", "type": "CPT" } ],"standard_charges":[{"minimum":8.8700,"maximum":28.0000,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.8700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.3400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ige","code_information":[
                 { "code": "82785", "type": "CPT" } ],"standard_charges":[{"minimum":15.7000,"maximum":35.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.4600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.4600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.4600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":20.3200,"methodology":"fee schedule"}]}]},{"description":"Igg 1 2 3 Or 4 Each","code_information":[
                 { "code": "82787", "type": "CPT" } ],"standard_charges":[{"minimum":8.0200,"maximum":22.0000,"gross_charge":90.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.0200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.0200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.9100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.0200,"methodology":"fee schedule"}]}]},{"description":"Blood Gases Any Combination","code_information":[
                 { "code": "82803", "type": "CPT" } ],"standard_charges":[{"minimum":18.4500,"maximum":35.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"}]}]},{"description":"Gastrin Test","code_information":[
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                 { "code": "83021", "type": "CPT" } ],"standard_charges":[{"minimum":17.2200,"maximum":35.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.0600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Copper Sulfate","code_information":[
                 { "code": "83026", "type": "CPT" } ],"standard_charges":[{"minimum":2.2500,"maximum":5.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.0100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.0100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":2.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.0100,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin F Fetal Chemical","code_information":[
                 { "code": "83030", "type": "CPT" } ],"standard_charges":[{"minimum":7.8800,"maximum":15.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Ftl F Assay Qual","code_information":[
                 { "code": "83033", "type": "CPT" } ],"standard_charges":[{"minimum":5.6800,"maximum":15.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.3900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":8.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":8.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Glycosylated A1c","code_information":[
                 { "code": "83036", "type": "CPT" } ],"standard_charges":[{"minimum":9.2500,"maximum":20.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.7900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":11.9900,"methodology":"fee schedule"}]}]},{"description":"Hgb Methemoglobin Qual","code_information":[
                 { "code": "83045", "type": "CPT" } ],"standard_charges":[{"minimum":4.7300,"maximum":10.0000,"gross_charge":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"}]}]},{"description":"Hgb Methemoglobin Quan","code_information":[
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                 { "code": "83060", "type": "CPT" } ],"standard_charges":[{"minimum":7.8800,"maximum":15.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.8000,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Thermolabile","code_information":[
                 { "code": "83065", "type": "CPT" } ],"standard_charges":[{"minimum":6.5700,"maximum":15.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":9.6900,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Unstable Screen","code_information":[
                 { "code": "83068", "type": "CPT" } ],"standard_charges":[{"minimum":8.0700,"maximum":15.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.4700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.4700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.4700,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Urine","code_information":[
                 { "code": "83069", "type": "CPT" } ],"standard_charges":[{"minimum":3.7700,"maximum":10.0000,"gross_charge":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.7700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":5.5600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Hemosiderin Qual","code_information":[
                 { "code": "83070", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":8.0000,"gross_charge":44.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.7500,"methodology":"fee schedule"}]}]},{"description":"Assay Of B Hexosaminidase Ea","code_information":[
                 { "code": "83080", "type": "CPT" } ],"standard_charges":[{"minimum":16.0800,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.8700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.8700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Histamine","code_information":[
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                 { "code": "83090", "type": "CPT" } ],"standard_charges":[{"minimum":17.9200,"maximum":30.0000,"gross_charge":29.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.9200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.9200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.9200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Homovanillic Acid","code_information":[
                 { "code": "83150", "type": "CPT" } ],"standard_charges":[{"minimum":18.4500,"maximum":40.0000,"gross_charge":224.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":27.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.2200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.4500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":27.2200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":27.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.2200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":27.2200,"methodology":"fee schedule"}]}]},{"description":"Asy Hydroxycorticosteroids17","code_information":[
                 { "code": "83491", "type": "CPT" } ],"standard_charges":[{"minimum":16.7100,"maximum":24.6500,"gross_charge":56.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.9000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.7100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.9000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.9000,"methodology":"fee schedule"}]}]},{"description":"Assay Of 5-hiaa","code_information":[
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                 { "code": "83528", "type": "CPT" } ],"standard_charges":[{"minimum":15.1700,"maximum":35.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.8200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.3800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.3800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":22.3800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.8200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.3800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.3800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":22.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.8200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Iron","code_information":[
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                 { "code": "83632", "type": "CPT" } ],"standard_charges":[{"minimum":19.2800,"maximum":28.5000,"gross_charge":114.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.2200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.2800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.2200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":28.4500,"methodology":"fee schedule"}]}]},{"description":"Test Urine For Lactose","code_information":[
                 { "code": "83633", "type": "CPT" } ],"standard_charges":[{"minimum":5.2400,"maximum":15.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.2400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.2500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lead","code_information":[
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                 { "code": "83661", "type": "CPT" } ],"standard_charges":[{"minimum":20.9700,"maximum":30.9400,"gross_charge":264.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.9400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.9400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.9700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":30.9400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":30.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.9400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":30.9400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.9400,"methodology":"fee schedule"}]}]},{"description":"Foam Stability Fetal Lung","code_information":[
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                 { "code": "83664", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":23.5000,"gross_charge":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.5000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lap Enzyme","code_information":[
                 { "code": "83670", "type": "CPT" } ],"standard_charges":[{"minimum":8.7400,"maximum":13.0000,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.8100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.8100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.8100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lipase","code_information":[
                 { "code": "83690", "type": "CPT" } ],"standard_charges":[{"minimum":6.0000,"maximum":9.0000,"gross_charge":94.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.6500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.5700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.8900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lipoprotein","code_information":[
                 { "code": "83718", "type": "CPT" } ],"standard_charges":[{"minimum":7.8100,"maximum":19.0000,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.1900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.1900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.8100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.1000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.1900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Lipoprotein","code_information":[
                 { "code": "83719", "type": "CPT" } ],"standard_charges":[{"minimum":11.1000,"maximum":18.0000,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.7500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.7500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Lipoprotein","code_information":[
                 { "code": "83721", "type": "CPT" } ],"standard_charges":[{"minimum":9.1000,"maximum":15.0000,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.5000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lrh Hormone","code_information":[
                 { "code": "83727", "type": "CPT" } ],"standard_charges":[{"minimum":16.3900,"maximum":32.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.1000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.1900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.3900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.1900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Magnesium","code_information":[
                 { "code": "83735", "type": "CPT" } ],"standard_charges":[{"minimum":6.3800,"maximum":13.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.4400,"methodology":"fee schedule"}]}]},{"description":"Assay Malate Dehydrogenase","code_information":[
                 { "code": "83775", "type": "CPT" } ],"standard_charges":[{"minimum":7.0300,"maximum":15.0000,"gross_charge":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.3700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.3700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.3700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":10.3700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Manganese","code_information":[
                 { "code": "83785", "type": "CPT" } ],"standard_charges":[{"minimum":26.6500,"maximum":40.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.6500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Mercury","code_information":[
                 { "code": "83825", "type": "CPT" } ],"standard_charges":[{"minimum":16.2600,"maximum":40.0000,"gross_charge":173.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.8800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.8800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.8800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":22.8800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.9300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.8800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":22.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Metanephrines","code_information":[
                 { "code": "83835", "type": "CPT" } ],"standard_charges":[{"minimum":16.9400,"maximum":62.0000,"gross_charge":199.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.8200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.7600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Methemalbumin","code_information":[
                 { "code": "83857", "type": "CPT" } ],"standard_charges":[{"minimum":10.2400,"maximum":15.1200,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.9300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"}]}]},{"description":"Mucopolysaccharides","code_information":[
                 { "code": "83864", "type": "CPT" } ],"standard_charges":[{"minimum":18.9900,"maximum":55.0000,"gross_charge":38.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"}]}]},{"description":"Assay Synovial Fluid Mucin","code_information":[
                 { "code": "83872", "type": "CPT" } ],"standard_charges":[{"minimum":1.5000,"maximum":8.2500,"gross_charge":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.5100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.2500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":1.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":1.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.2500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.2500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":8.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.2500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":8.2500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Csf Protein","code_information":[
                 { "code": "83873", "type": "CPT" } ],"standard_charges":[{"minimum":16.4100,"maximum":65.0000,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.2100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.2100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.2100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":24.2100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.2100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":24.2100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Myoglobin","code_information":[
                 { "code": "83874", "type": "CPT" } ],"standard_charges":[{"minimum":12.3100,"maximum":44.0000,"gross_charge":76.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.1700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.3500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.1700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.1700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.1700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.1700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.1700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.9200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Natriuretic Peptide","code_information":[
                 { "code": "83880", "type": "CPT" } ],"standard_charges":[{"minimum":28.0000,"maximum":50.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":39.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":39.2600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":36.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.2600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":39.2600,"methodology":"fee schedule"}]}]},{"description":"Assay Nephelometry Not Spec","code_information":[
                 { "code": "83883", "type": "CPT" } ],"standard_charges":[{"minimum":12.9600,"maximum":30.0000,"gross_charge":224.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.1100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.9600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.6000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Nickel","code_information":[
                 { "code": "83885", "type": "CPT" } ],"standard_charges":[{"minimum":24.5100,"maximum":120.0000,"gross_charge":144.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.5100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":34.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":34.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.5100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.4800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":34.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":34.4800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":34.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":34.4800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":26.6700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.4800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":34.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.5100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Nucleotidase","code_information":[
                 { "code": "83915", "type": "CPT" } ],"standard_charges":[{"minimum":10.6300,"maximum":22.0000,"gross_charge":55.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.1500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.1500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.3900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.1500,"methodology":"fee schedule"}]}]},{"description":"Oligoclonal Bands","code_information":[
                 { "code": "83916", "type": "CPT" } ],"standard_charges":[{"minimum":19.1700,"maximum":57.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.3900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":57.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":27.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.3900,"methodology":"fee schedule"}]}]},{"description":"Organic Acids Total Quant","code_information":[
                 { "code": "83918", "type": "CPT" } ],"standard_charges":[{"minimum":20.1700,"maximum":25.0000,"gross_charge":289.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.6000,"methodology":"fee schedule"}]}]},{"description":"Organic Acids Qual Each","code_information":[
                 { "code": "83919", "type": "CPT" } ],"standard_charges":[{"minimum":16.4500,"maximum":225.0000,"gross_charge":289.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.2800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.1700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.4500,"methodology":"fee schedule"}]}]},{"description":"Organic Acid Single Quant","code_information":[
                 { "code": "83921", "type": "CPT" } ],"standard_charges":[{"minimum":17.9100,"maximum":150.0000,"gross_charge":289.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.2100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.2100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.2100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Osmolality","code_information":[
                 { "code": "83930", "type": "CPT" } ],"standard_charges":[{"minimum":6.3100,"maximum":12.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.6100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.3100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.6100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Osmolality","code_information":[
                 { "code": "83935", "type": "CPT" } ],"standard_charges":[{"minimum":6.5000,"maximum":12.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.5700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.8200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Osteocalcin","code_information":[
                 { "code": "83937", "type": "CPT" } ],"standard_charges":[{"minimum":28.4600,"maximum":52.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":42.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":42.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.1600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":42.0100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":42.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":42.0100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":42.0100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":42.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":42.0100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":42.0100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.4600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":42.0100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":42.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.8500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Oxalate","code_information":[
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                 { "code": "83946", "type": "CPT" } ],"standard_charges":[{"minimum":69.0000,"maximum":69.0000,"gross_charge":69.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":69.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":69.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":69.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":69.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":69.0000,"methodology":"fee schedule"}]}]},{"description":"Oncoprotein Her-2\/neu","code_information":[
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                 { "code": "83986", "type": "CPT" } ],"standard_charges":[{"minimum":1.9500,"maximum":4.4200,"gross_charge":16.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.5800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.9800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":1.9500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.5800,"methodology":"fee schedule"}]}]},{"description":"Assay For Phencyclidine","code_information":[
                 { "code": "83992", "type": "CPT" } ],"standard_charges":[{"minimum":15.0000,"maximum":60.0000,"gross_charge":72.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.6800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Pku","code_information":[
                 { "code": "84030", "type": "CPT" } ],"standard_charges":[{"minimum":5.5000,"maximum":125.0000,"gross_charge":12.5000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.5000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Phenylketones","code_information":[
                 { "code": "84035", "type": "CPT" } ],"standard_charges":[{"minimum":3.4900,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.9800,"methodology":"fee schedule"}]}]},{"description":"Assay Acid Phosphatase","code_information":[
                 { "code": "84060", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":10.3900,"gross_charge":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.2100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.3900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.3900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.3900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":10.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.3900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.3900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":10.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.6400,"methodology":"fee schedule"}]}]},{"description":"Assay Prostate Phosphatase","code_information":[
                 { "code": "84066", "type": "CPT" } ],"standard_charges":[{"minimum":9.2100,"maximum":24.0000,"gross_charge":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":13.5900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.5900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.5900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.5900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":13.5900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.5900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.2100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.6600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.5900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":13.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.6600,"methodology":"fee schedule"}]}]},{"description":"Assay Alkaline Phosphatase","code_information":[
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                 { "code": "84078", "type": "CPT" } ],"standard_charges":[{"minimum":6.9700,"maximum":15.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.2600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.2600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.2600,"methodology":"fee schedule"}]}]},{"description":"Assay Alkaline Phosphatases","code_information":[
                 { "code": "84080", "type": "CPT" } ],"standard_charges":[{"minimum":14.1000,"maximum":20.8200,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.7800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.7800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.7800,"methodology":"fee schedule"}]}]},{"description":"Assay Phosphatidylglycerol","code_information":[
                 { "code": "84081", "type": "CPT" } ],"standard_charges":[{"minimum":15.7500,"maximum":31.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.3500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.5200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Rbc Pg6d Enzyme","code_information":[
                 { "code": "84085", "type": "CPT" } ],"standard_charges":[{"minimum":6.4300,"maximum":15.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.4900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":9.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.4900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":9.4900,"methodology":"fee schedule"}]}]},{"description":"Assay Phosphohexose Enzymes","code_information":[
                 { "code": "84087", "type": "CPT" } ],"standard_charges":[{"minimum":9.8500,"maximum":15.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.4700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.7300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Phosphorus","code_information":[
                 { "code": "84100", "type": "CPT" } ],"standard_charges":[{"minimum":4.5200,"maximum":7.0000,"gross_charge":19.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.7400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.7400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Phosphorus","code_information":[
                 { "code": "84105", "type": "CPT" } ],"standard_charges":[{"minimum":4.9400,"maximum":7.2800,"gross_charge":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.7800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.7800,"methodology":"fee schedule"}]}]},{"description":"Test For Porphobilinogen","code_information":[
                 { "code": "84106", "type": "CPT" } ],"standard_charges":[{"minimum":3.9000,"maximum":8.0000,"gross_charge":16.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.0200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.0200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.0200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.0200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.0200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.8200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Porphobilinogen","code_information":[
                 { "code": "84110", "type": "CPT" } ],"standard_charges":[{"minimum":8.0500,"maximum":23.0000,"gross_charge":16.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.4400,"methodology":"fee schedule"}]}]},{"description":"Test Urine For Porphyrins","code_information":[
                 { "code": "84119", "type": "CPT" } ],"standard_charges":[{"minimum":2.9300,"maximum":13.3600,"gross_charge":93.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.3600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":2.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.3600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.3600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.3600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Porphyrins","code_information":[
                 { "code": "84120", "type": "CPT" } ],"standard_charges":[{"minimum":12.0000,"maximum":60.0000,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.7100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.7100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.7100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.7000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.7000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.7000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":20.7000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.7000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.7000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":20.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.7100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Feces Porphyrins","code_information":[
                 { "code": "84126", "type": "CPT" } ],"standard_charges":[{"minimum":24.2900,"maximum":39.1100,"gross_charge":104.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":39.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":39.1100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.2900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":39.1100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":39.1100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serum Potassium","code_information":[
                 { "code": "84132", "type": "CPT" } ],"standard_charges":[{"minimum":4.3800,"maximum":8.0000,"gross_charge":29.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.7600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.1100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.7600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serum Potassium","code_information":[
                 { "code": "84133", "type": "CPT" } ],"standard_charges":[{"minimum":4.1000,"maximum":9.0000,"gross_charge":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.7900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Prealbumin","code_information":[
                 { "code": "84134", "type": "CPT" } ],"standard_charges":[{"minimum":13.9100,"maximum":25.0000,"gross_charge":108.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.2100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.5900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.5900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Pregnanediol","code_information":[
                 { "code": "84135", "type": "CPT" } ],"standard_charges":[{"minimum":18.2400,"maximum":26.9200,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":26.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":26.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.9200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":26.9200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.9200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":26.9200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.9200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":26.9200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.2700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Pregnanetriol","code_information":[
                 { "code": "84138", "type": "CPT" } ],"standard_charges":[{"minimum":18.0500,"maximum":31.0000,"gross_charge":234.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.0500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.0500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.0500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Pregnenolone","code_information":[
                 { "code": "84140", "type": "CPT" } ],"standard_charges":[{"minimum":19.7100,"maximum":33.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":29.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.7100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.6700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.1000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":29.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":29.1000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.1000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.1000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":29.1000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.6700,"methodology":"fee schedule"}]}]},{"description":"Assay Of 17-hydroxypregneno","code_information":[
                 { "code": "84143", "type": "CPT" } ],"standard_charges":[{"minimum":22.8100,"maximum":32.1200,"gross_charge":72.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":22.8100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":27.9700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":27.9700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":32.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":32.1200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":32.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":32.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":32.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":32.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.8100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":32.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":32.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.3400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":32.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.8100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Progesterone","code_information":[
                 { "code": "84144", "type": "CPT" } ],"standard_charges":[{"minimum":19.8900,"maximum":35.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":29.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.8600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.1800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.8600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.3600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":29.3600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":29.3600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.3600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.3600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.3600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":29.3600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Prolactin","code_information":[
                 { "code": "84146", "type": "CPT" } ],"standard_charges":[{"minimum":18.4800,"maximum":35.0000,"gross_charge":58.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":27.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":27.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.4800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.3800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.2700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":27.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.2700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.2700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":27.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.3800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Prostaglandin","code_information":[
                 { "code": "84150", "type": "CPT" } ],"standard_charges":[{"minimum":23.8000,"maximum":41.7700,"gross_charge":42.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":41.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":41.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":41.7700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":41.7700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":35.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.7700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Psa Complexed","code_information":[
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                 { "code": "84234", "type": "CPT" } ],"standard_charges":[{"minimum":61.8700,"maximum":95.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":64.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":91.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":91.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":64.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":72.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":61.8700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":64.8800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":91.2900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":91.2900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":91.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":91.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":91.2900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":71.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":91.2900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":91.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":91.2900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":91.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":64.8800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Renin","code_information":[
                 { "code": "84244", "type": "CPT" } ],"standard_charges":[{"minimum":21.9900,"maximum":40.0000,"gross_charge":110.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.9500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.4400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":30.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":30.9500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.9500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.9500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":30.9500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.9900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin B-2","code_information":[
                 { "code": "84252", "type": "CPT" } ],"standard_charges":[{"minimum":19.3000,"maximum":225.0000,"gross_charge":270.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":28.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":28.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.2400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.4800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":86.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.2400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.4800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.4800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":28.4800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.4800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Selenium","code_information":[
                 { "code": "84255", "type": "CPT" } ],"standard_charges":[{"minimum":24.3500,"maximum":150.0000,"gross_charge":180.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.3700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.5300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serotonin","code_information":[
                 { "code": "84260", "type": "CPT" } ],"standard_charges":[{"minimum":30.9800,"maximum":134.0000,"gross_charge":174.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":43.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":43.5900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.7600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.7600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":43.5900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":43.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":43.5900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":43.5900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":43.5900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":134.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":43.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":43.5900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":43.5900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":43.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.9800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sex Hormone Globul","code_information":[
                 { "code": "84270", "type": "CPT" } ],"standard_charges":[{"minimum":14.6300,"maximum":30.5800,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.7300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.7300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.7300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.1500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":30.5800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.5800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":30.5800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.5800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.5800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":30.5800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.7300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sialic Acid","code_information":[
                 { "code": "84275", "type": "CPT" } ],"standard_charges":[{"minimum":12.8100,"maximum":50.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.8100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.9100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.9100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.9100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.9100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.9100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.4400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Silica","code_information":[
                 { "code": "84285", "type": "CPT" } ],"standard_charges":[{"minimum":22.4500,"maximum":35.0000,"gross_charge":42.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":33.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":33.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.2100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.2100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.1500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":33.1400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":33.1400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":33.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":33.1400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":33.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.1400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.1400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":33.1400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.2100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serum Sodium","code_information":[
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                 { "code": "84403", "type": "CPT" } ],"standard_charges":[{"minimum":24.6200,"maximum":40.0000,"gross_charge":115.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":36.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.6800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.6200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.8100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":36.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":36.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":36.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":36.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":36.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.3300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":36.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":36.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.8100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin B-1","code_information":[
                 { "code": "84425", "type": "CPT" } ],"standard_charges":[{"minimum":21.2300,"maximum":32.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.1400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.2300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.8800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Thiocyanate","code_information":[
                 { "code": "84430", "type": "CPT" } ],"standard_charges":[{"minimum":6.0000,"maximum":40.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.6300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.6300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.6300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.6300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Thyroglobulin","code_information":[
                 { "code": "84432", "type": "CPT" } ],"standard_charges":[{"minimum":15.3200,"maximum":22.6100,"gross_charge":72.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.6100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":22.6100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.6100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.6100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.6100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.6100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":22.6100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.0600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Total Thyroxine","code_information":[
                 { "code": "84436", "type": "CPT" } ],"standard_charges":[{"minimum":6.5500,"maximum":15.0000,"gross_charge":29.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.8700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Neonatal Thyroxine","code_information":[
                 { "code": "84437", "type": "CPT" } ],"standard_charges":[{"minimum":6.1700,"maximum":15.4900,"gross_charge":12.5000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.1700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Free Thyroxine","code_information":[
                 { "code": "84439", "type": "CPT" } ],"standard_charges":[{"minimum":9.0200,"maximum":25.0000,"gross_charge":55.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.0200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.0200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Thyroid Activity","code_information":[
                 { "code": "84442", "type": "CPT" } ],"standard_charges":[{"minimum":14.1000,"maximum":60.0000,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.7800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.7800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.7800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.7800,"methodology":"fee schedule"}]}]},{"description":"Assay Thyroid Stim Hormone","code_information":[
                 { "code": "84443", "type": "CPT" } ],"standard_charges":[{"minimum":16.0200,"maximum":25.0000,"gross_charge":13.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":20.7500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Tsi Globulin","code_information":[
                 { "code": "84445", "type": "CPT" } ],"standard_charges":[{"minimum":48.4900,"maximum":154.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":50.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":71.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":56.5100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":48.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":50.8600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":71.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.8600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":71.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":71.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":71.5600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":71.5600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":71.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.8600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":154.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":71.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":71.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":71.5600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":71.5600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin E","code_information":[
                 { "code": "84446", "type": "CPT" } ],"standard_charges":[{"minimum":13.5200,"maximum":60.0000,"gross_charge":154.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":53.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Transcortin","code_information":[
                 { "code": "84449", "type": "CPT" } ],"standard_charges":[{"minimum":17.1600,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":25.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":25.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":25.3300,"methodology":"fee schedule"}]}]},{"description":"Transferase (ast) (sgot)","code_information":[
                 { "code": "84450", "type": "CPT" } ],"standard_charges":[{"minimum":4.9400,"maximum":20.0000,"gross_charge":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.1800,"methodology":"fee schedule"}]}]},{"description":"Alanine Amino (alt) (sgpt)","code_information":[
                 { "code": "84460", "type": "CPT" } ],"standard_charges":[{"minimum":5.0500,"maximum":10.0000,"gross_charge":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.3000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.3000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Transferrin","code_information":[
                 { "code": "84466", "type": "CPT" } ],"standard_charges":[{"minimum":12.1700,"maximum":15.7600,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.7600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.7600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.7600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Triglycerides","code_information":[
                 { "code": "84478", "type": "CPT" } ],"standard_charges":[{"minimum":5.4800,"maximum":15.0000,"gross_charge":16.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Thyroid (t3 Or T4)","code_information":[
                 { "code": "84479", "type": "CPT" } ],"standard_charges":[{"minimum":6.1700,"maximum":13.0000,"gross_charge":29.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.1800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"}]}]},{"description":"Assay Triiodothyronine (t3)","code_information":[
                 { "code": "84480", "type": "CPT" } ],"standard_charges":[{"minimum":13.5200,"maximum":22.0000,"gross_charge":58.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.1800,"methodology":"fee schedule"}]}]},{"description":"Free Assay (ft-3)","code_information":[
                 { "code": "84481", "type": "CPT" } ],"standard_charges":[{"minimum":16.1500,"maximum":112.0000,"gross_charge":61.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.1500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":112.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.9400,"methodology":"fee schedule"}]}]},{"description":"T3 Reverse","code_information":[
                 { "code": "84482", "type": "CPT" } ],"standard_charges":[{"minimum":15.0300,"maximum":100.0000,"gross_charge":138.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.5100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.1800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":22.1800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.1800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.1800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.1800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.1800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":22.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.7600,"methodology":"fee schedule"}]}]},{"description":"Assay Duodenal Fluid Trypsin","code_information":[
                 { "code": "84485", "type": "CPT" } ],"standard_charges":[{"minimum":4.8800,"maximum":10.5700,"gross_charge":90.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":10.5700,"methodology":"fee schedule"}]}]},{"description":"Test Feces For Trypsin","code_information":[
                 { "code": "84488", "type": "CPT" } ],"standard_charges":[{"minimum":6.9700,"maximum":10.2700,"gross_charge":90.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Feces For Trypsin","code_information":[
                 { "code": "84490", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":10.7100,"gross_charge":90.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.9300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":10.7100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.9300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.7100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.7100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.7100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.7100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.7100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":10.7100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Tyrosine","code_information":[
                 { "code": "84510", "type": "CPT" } ],"standard_charges":[{"minimum":9.9200,"maximum":15.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.5600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.6300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.9200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.6300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.6300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":14.6400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urea Nitrogen","code_information":[
                 { "code": "84520", "type": "CPT" } ],"standard_charges":[{"minimum":3.3900,"maximum":6.0000,"gross_charge":16.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.3900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"}]}]},{"description":"Urea Nitrogen Semi-quant","code_information":[
                 { "code": "84525", "type": "CPT" } ],"standard_charges":[{"minimum":3.5900,"maximum":10.0000,"gross_charge":16.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.5900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.1300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urea Nitrogen","code_information":[
                 { "code": "84545", "type": "CPT" } ],"standard_charges":[{"minimum":6.3000,"maximum":11.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.3500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood\/uric Acid","code_information":[
                 { "code": "84550", "type": "CPT" } ],"standard_charges":[{"minimum":4.3100,"maximum":6.0000,"gross_charge":19.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.3100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"}]}]},{"description":"Exploration For Testis","code_information":[
                 { "code": "84560", "type": "CPT" } ],"standard_charges":[{"minimum":4.5300,"maximum":6.6800,"gross_charge":19.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.6800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Feces\/urobilinogen","code_information":[
                 { "code": "84577", "type": "CPT" } ],"standard_charges":[{"minimum":11.9000,"maximum":18.6700,"gross_charge":77.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":17.5600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.5600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.5600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.5600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":17.5600,"methodology":"fee schedule"}]}]},{"description":"Test Urine Urobilinogen","code_information":[
                 { "code": "84578", "type": "CPT" } ],"standard_charges":[{"minimum":2.0000,"maximum":6.0000,"gross_charge":77.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.5700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":4.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":4.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.5700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.5700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.5700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":4.5700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":4.5700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Urobilinogen","code_information":[
                 { "code": "84580", "type": "CPT" } ],"standard_charges":[{"minimum":6.7600,"maximum":9.9800,"gross_charge":49.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.7600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.9800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":9.9800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.9800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.9800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.9800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.9800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":9.9800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Urobilinogen","code_information":[
                 { "code": "84583", "type": "CPT" } ],"standard_charges":[{"minimum":3.9000,"maximum":17.0000,"gross_charge":13.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Vma","code_information":[
                 { "code": "84585", "type": "CPT" } ],"standard_charges":[{"minimum":15.5000,"maximum":21.8200,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.5000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":21.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":21.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.8200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.8200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.8200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":21.8200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.8200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vip","code_information":[
                 { "code": "84586", "type": "CPT" } ],"standard_charges":[{"minimum":20.8600,"maximum":39.2600,"gross_charge":362.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":39.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":35.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.8600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":35.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":30.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":30.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.7800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.7800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.7800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.7800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.7800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":30.7800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vasopressin","code_information":[
                 { "code": "84588", "type": "CPT" } ],"standard_charges":[{"minimum":32.3700,"maximum":123.0000,"gross_charge":394.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":33.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":47.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":37.7100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":32.3700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.9400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":47.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":33.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":47.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.7700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":47.7700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.7700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":47.7700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":33.9400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":123.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":47.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.7700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":47.7700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":47.7700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin A","code_information":[
                 { "code": "84590", "type": "CPT" } ],"standard_charges":[{"minimum":11.6100,"maximum":48.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.2300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Nos Vitamin","code_information":[
                 { "code": "84591", "type": "CPT" } ],"standard_charges":[{"minimum":11.0700,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.0600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.0600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin K","code_information":[
                 { "code": "84597", "type": "CPT" } ],"standard_charges":[{"minimum":13.7200,"maximum":19.2900,"gross_charge":64.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.2900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":19.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.7200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.7200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.2900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":19.2900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Volatiles","code_information":[
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                 { "code": "84620", "type": "CPT" } ],"standard_charges":[{"minimum":11.3000,"maximum":32.0000,"gross_charge":42.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.9100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.9100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.9100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Zinc","code_information":[
                 { "code": "84630", "type": "CPT" } ],"standard_charges":[{"minimum":10.8600,"maximum":33.0000,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.6500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.8600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.3900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.0200,"methodology":"fee schedule"}]}]},{"description":"Assay Of C-peptide","code_information":[
                 { "code": "84681", "type": "CPT" } ],"standard_charges":[{"minimum":19.8500,"maximum":36.0000,"gross_charge":205.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.1300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"}]}]},{"description":"Chorionic Gonadotropin Test","code_information":[
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                 { "code": "85028", "type": "CPT" } ],"standard_charges":[{"minimum":7.4100,"maximum":10.0000,"gross_charge":42.0000,"setting":"outpatient","payers_information":[{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Manual Reticulocyte Count","code_information":[
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                 { "code": "85520", "type": "CPT" } ],"standard_charges":[{"minimum":11.0000,"maximum":25.0000,"gross_charge":196.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.0900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.4800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.0900,"methodology":"fee schedule"}]}]},{"description":"Heparin Neutralization","code_information":[
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                 { "code": "85530", "type": "CPT" } ],"standard_charges":[{"minimum":13.0900,"maximum":30.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.0900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.0900,"methodology":"fee schedule"}]}]},{"description":"Iron Stain Peripheral Blood","code_information":[
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                 { "code": "85540", "type": "CPT" } ],"standard_charges":[{"minimum":8.2000,"maximum":23.0000,"gross_charge":55.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.6000,"methodology":"fee schedule"}]}]},{"description":"Rbc Mechanical Fragility","code_information":[
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                 { "code": "85555", "type": "CPT" } ],"standard_charges":[{"minimum":6.0000,"maximum":9.4100,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.4700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.4700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.3700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.4700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.4700,"methodology":"fee schedule"}]}]},{"description":"Rbc Osmotic Fragility","code_information":[
                 { "code": "85557", "type": "CPT" } ],"standard_charges":[{"minimum":12.7400,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.3600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.3600,"methodology":"fee schedule"}]}]},{"description":"Phospholipid Pltlt Neutraliz","code_information":[
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                 { "code": "85610", "type": "CPT" } ],"standard_charges":[{"minimum":3.7500,"maximum":9.0000,"gross_charge":14.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.3700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.2900,"methodology":"fee schedule"}]}]},{"description":"Viper Venom Prothrombin Time","code_information":[
                 { "code": "85612", "type": "CPT" } ],"standard_charges":[{"minimum":9.1400,"maximum":17.4900,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":13.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.1400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.4700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":13.4700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.4700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.4700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.4700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.4700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":13.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.4900,"methodology":"fee schedule"}]}]},{"description":"Russell Viper Venom Diluted","code_information":[
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                 { "code": "85635", "type": "CPT" } ],"standard_charges":[{"minimum":9.3900,"maximum":15.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.9400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.8500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.8500,"methodology":"fee schedule"}]}]},{"description":"Rbc Sed Rate Nonautomated","code_information":[
                 { "code": "85651", "type": "CPT" } ],"standard_charges":[{"minimum":3.3800,"maximum":7.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.2700,"methodology":"fee schedule"}]}]},{"description":"Rbc Sed Rate Automated","code_information":[
                 { "code": "85652", "type": "CPT" } ],"standard_charges":[{"minimum":2.5800,"maximum":10.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":3.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":2.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":3.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":3.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.7000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":2.5800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":3.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":2.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":3.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":3.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":3.3300,"methodology":"fee schedule"}]}]},{"description":"Rbc Sickle Cell Test","code_information":[
                 { "code": "85660", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":7.7600,"gross_charge":27.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":7.7600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.7600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.7600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.7600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.7600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.7600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":7.7600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.5100,"methodology":"fee schedule"}]}]},{"description":"Thrombin Time Plasma","code_information":[
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                 { "code": "85675", "type": "CPT" } ],"standard_charges":[{"minimum":6.5200,"maximum":120.0000,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8500,"methodology":"fee schedule"}]}]},{"description":"Thromboplastin Inhibition","code_information":[
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                 { "code": "85730", "type": "CPT" } ],"standard_charges":[{"minimum":6.0100,"maximum":10.0000,"gross_charge":19.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.6700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"}]}]},{"description":"Thromboplastin Time Partial","code_information":[
                 { "code": "85732", "type": "CPT" } ],"standard_charges":[{"minimum":6.1600,"maximum":75.0000,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.1600,"methodology":"fee schedule"}]}]},{"description":"Blood Viscosity Examination","code_information":[
                 { "code": "85810", "type": "CPT" } ],"standard_charges":[{"minimum":11.6700,"maximum":30.0000,"gross_charge":19.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.6700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.6700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.6700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.4300,"methodology":"fee schedule"}]}]},{"description":"Agglutinins Febrile Antigen","code_information":[
                 { "code": "86000", "type": "CPT" } ],"standard_charges":[{"minimum":6.6600,"maximum":119.0000,"gross_charge":55.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.9800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.9800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":119.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.8200,"methodology":"fee schedule"}]}]},{"description":"Allergen Specific Igg","code_information":[
                 { "code": "86001", "type": "CPT" } ],"standard_charges":[{"minimum":4.9800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"}]}]},{"description":"Allg Spec Ige Crude Xtrc Ea","code_information":[
                 { "code": "86003", "type": "CPT" } ],"standard_charges":[{"minimum":5.2200,"maximum":50.0000,"gross_charge":516.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.6900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.6900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"}]}]},{"description":"Allg Spec Ige Multiallg Scr","code_information":[
                 { "code": "86005", "type": "CPT" } ],"standard_charges":[{"minimum":5.0000,"maximum":135.0000,"gross_charge":192.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.9700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.8500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Wbc Antibody Identification","code_information":[
                 { "code": "86021", "type": "CPT" } ],"standard_charges":[{"minimum":14.3600,"maximum":33.0000,"gross_charge":275.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.3600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"}]}]},{"description":"Platelet Antibodies","code_information":[
                 { "code": "86022", "type": "CPT" } ],"standard_charges":[{"minimum":18.3700,"maximum":47.5000,"gross_charge":138.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.3700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.4100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.6800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.6800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.6800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":22.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.6800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.6800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":22.6800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.3700,"methodology":"fee schedule"}]}]},{"description":"Antinuclear Antibodies","code_information":[
                 { "code": "86038", "type": "CPT" } ],"standard_charges":[{"minimum":11.5300,"maximum":30.0000,"gross_charge":59.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.0100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":17.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.4300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.0900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.0100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":17.0100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.0100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"}]}]},{"description":"Antinuclear Antibodies (ana)","code_information":[
                 { "code": "86039", "type": "CPT" } ],"standard_charges":[{"minimum":10.6400,"maximum":100.0000,"gross_charge":59.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.7100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.4000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.7100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.1600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.7100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.7100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.7100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.7100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.7100,"methodology":"fee schedule"}]}]},{"description":"Antistreptolysin O Titer","code_information":[
                 { "code": "86060", "type": "CPT" } ],"standard_charges":[{"minimum":6.9700,"maximum":10.2700,"gross_charge":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.9700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"}]}]},{"description":"C-reactive Protein","code_information":[
                 { "code": "86140", "type": "CPT" } ],"standard_charges":[{"minimum":3.9000,"maximum":6.3900,"gross_charge":26.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"}]}]},{"description":"C-reactive Protein Hs","code_information":[
                 { "code": "86141", "type": "CPT" } ],"standard_charges":[{"minimum":12.3400,"maximum":105.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.9500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.9500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.9500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"}]}]},{"description":"Beta-2 Glycoprotein Antibody","code_information":[
                 { "code": "86146", "type": "CPT" } ],"standard_charges":[{"minimum":24.2600,"maximum":100.0000,"gross_charge":68.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"}]}]},{"description":"Cardiolipin Antibody Ea Ig","code_information":[
                 { "code": "86147", "type": "CPT" } ],"standard_charges":[{"minimum":24.2600,"maximum":98.0000,"gross_charge":129.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.4500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"}]}]},{"description":"Anti-phospholipid Antibody","code_information":[
                 { "code": "86148", "type": "CPT" } ],"standard_charges":[{"minimum":15.3200,"maximum":70.0000,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.8400,"methodology":"fee schedule"}]}]},{"description":"Chemotaxis Assay","code_information":[
                 { "code": "86155", "type": "CPT" } ],"standard_charges":[{"minimum":15.0000,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Complement Antigen","code_information":[
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                 { "code": "86162", "type": "CPT" } ],"standard_charges":[{"minimum":19.3800,"maximum":64.0000,"gross_charge":180.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.5900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.3800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.5900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":28.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":28.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.5900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":28.5900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.5900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.5800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.5900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"}]}]},{"description":"Ccp Antibody","code_information":[
                 { "code": "86200", "type": "CPT" } ],"standard_charges":[{"minimum":80.0000,"maximum":80.0000,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"}]}]},{"description":"Deoxyribonuclease Antibody","code_information":[
                 { "code": "86215", "type": "CPT" } ],"standard_charges":[{"minimum":12.6400,"maximum":80.0000,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.2500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.6500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.6400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.6500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.6500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.7200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.6500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.6500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.6500,"methodology":"fee schedule"}]}]},{"description":"Dna Antibody Native","code_information":[
                 { "code": "86225", "type": "CPT" } ],"standard_charges":[{"minimum":13.1000,"maximum":19.0000,"gross_charge":80.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.7400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.9700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.9700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.9700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.9700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.9700,"methodology":"fee schedule"}]}]},{"description":"Dna Antibody Single Strand","code_information":[
                 { "code": "86226", "type": "CPT" } ],"standard_charges":[{"minimum":11.5400,"maximum":17.0400,"gross_charge":114.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.4500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"}]}]},{"description":"Nuclear Antigen Antibody","code_information":[
                 { "code": "86235", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":48.0000,"gross_charge":103.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.9300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.9300,"methodology":"fee schedule"}]}]},{"description":"Fluorescent Antibody Screen","code_information":[
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                 { "code": "86277", "type": "CPT" } ],"standard_charges":[{"minimum":15.0100,"maximum":29.0000,"gross_charge":90.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.1500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.7400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.1500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.1500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":22.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.1500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.1500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.1500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":22.1500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.7400,"methodology":"fee schedule"}]}]},{"description":"Hemagglutination Inhibition","code_information":[
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                 { "code": "86317", "type": "CPT" } ],"standard_charges":[{"minimum":14.2900,"maximum":30.0000,"gross_charge":240.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.9900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.9900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.9900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":21.1000,"methodology":"fee schedule"}]}]},{"description":"Ia Infectious Agent Antibody","code_information":[
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                 { "code": "86706", "type": "CPT" } ],"standard_charges":[{"minimum":10.2400,"maximum":25.0000,"gross_charge":64.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"}]}]},{"description":"Hepatitis Be Antibody","code_information":[
                 { "code": "86707", "type": "CPT" } ],"standard_charges":[{"minimum":11.0300,"maximum":16.2800,"gross_charge":64.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.5700,"methodology":"fee schedule"}]}]},{"description":"Hepatitis A Antibody","code_information":[
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                 { "code": "86709", "type": "CPT" } ],"standard_charges":[{"minimum":10.7300,"maximum":35.0000,"gross_charge":64.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.2600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.8400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.8400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.8400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.8400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.2600,"methodology":"fee schedule"}]}]},{"description":"Influenza Virus Antibody","code_information":[
                 { "code": "86710", "type": "CPT" } ],"standard_charges":[{"minimum":12.9200,"maximum":20.0000,"gross_charge":260.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.5500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.5500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.5500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.7300,"methodology":"fee schedule"}]}]},{"description":"Legionella Antibody","code_information":[
                 { "code": "86713", "type": "CPT" } ],"standard_charges":[{"minimum":14.6000,"maximum":21.5300,"gross_charge":128.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":20.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.1300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.1300,"methodology":"fee schedule"}]}]},{"description":"Leishmania Antibody","code_information":[
                 { "code": "86717", "type": "CPT" } ],"standard_charges":[{"minimum":8.3400,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"}]}]},{"description":"Leptospira Antibody","code_information":[
                 { "code": "86720", "type": "CPT" } ],"standard_charges":[{"minimum":10.8200,"maximum":16.2800,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":14.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.8200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.2000,"methodology":"fee schedule"}]}]},{"description":"Listeria Monocytogenes","code_information":[
                 { "code": "86723", "type": "CPT" } ],"standard_charges":[{"minimum":12.5800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.6500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.1900,"methodology":"fee schedule"}]}]},{"description":"Lymph Choriomeningitis Ab","code_information":[
                 { "code": "86727", "type": "CPT" } ],"standard_charges":[{"minimum":12.2600,"maximum":60.0000,"gross_charge":72.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.8700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.1100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.8700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.2600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.1100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.1100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.1100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.8700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.1100,"methodology":"fee schedule"}]}]},{"description":"Mucormycosis Antibody","code_information":[
                 { "code": "86732", "type": "CPT" } ],"standard_charges":[{"minimum":12.5800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"}]}]},{"description":"Mumps Antibody","code_information":[
                 { "code": "86735", "type": "CPT" } ],"standard_charges":[{"minimum":12.4400,"maximum":18.3700,"gross_charge":148.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.3700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.3700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.3700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.3700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.4400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.0500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.3700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.3700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.0500,"methodology":"fee schedule"}]}]},{"description":"Mycoplasma Antibody","code_information":[
                 { "code": "86738", "type": "CPT" } ],"standard_charges":[{"minimum":16.3400,"maximum":16.3400,"gross_charge":135.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.3400,"methodology":"fee schedule"}]}]},{"description":"Neisseria Meningitidis","code_information":[
                 { "code": "86741", "type": "CPT" } ],"standard_charges":[{"minimum":12.5800,"maximum":18.5600,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.6500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.1900,"methodology":"fee schedule"}]}]},{"description":"Nocardia Antibody","code_information":[
                 { "code": "86744", "type": "CPT" } ],"standard_charges":[{"minimum":12.5800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.9900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.9900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.9900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.9900,"methodology":"fee schedule"}]}]},{"description":"Parvovirus Antibody","code_information":[
                 { "code": "86747", "type": "CPT" } ],"standard_charges":[{"minimum":14.3400,"maximum":90.0000,"gross_charge":108.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.0300,"methodology":"fee schedule"}]}]},{"description":"Malaria Antibody","code_information":[
                 { "code": "86750", "type": "CPT" } ],"standard_charges":[{"minimum":12.5800,"maximum":300.0000,"gross_charge":360.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.6500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"}]}]},{"description":"Protozoa Antibody Nos","code_information":[
                 { "code": "86753", "type": "CPT" } ],"standard_charges":[{"minimum":8.3400,"maximum":175.0000,"gross_charge":210.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.7600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.3900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.3900,"methodology":"fee schedule"}]}]},{"description":"Respiratory Virus Antibody","code_information":[
                 { "code": "86756", "type": "CPT" } ],"standard_charges":[{"minimum":12.2900,"maximum":120.0000,"gross_charge":144.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.8900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.2900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.8900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.8900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.8900,"methodology":"fee schedule"}]}]},{"description":"Rickettsia Antibody","code_information":[
                 { "code": "86757", "type": "CPT" } ],"standard_charges":[{"minimum":18.4600,"maximum":27.2300,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.3500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.5100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.3500,"methodology":"fee schedule"}]}]},{"description":"Rotavirus Antibody","code_information":[
                 { "code": "86759", "type": "CPT" } ],"standard_charges":[{"minimum":9.5000,"maximum":18.5600,"gross_charge":148.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.2300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.2300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.2300,"methodology":"fee schedule"}]}]},{"description":"Rubella Antibody","code_information":[
                 { "code": "86762", "type": "CPT" } ],"standard_charges":[{"minimum":13.7300,"maximum":23.0000,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.9900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.3900,"methodology":"fee schedule"}]}]},{"description":"Rubeola Antibody","code_information":[
                 { "code": "86765", "type": "CPT" } ],"standard_charges":[{"minimum":12.8800,"maximum":18.1300,"gross_charge":135.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.3100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.0400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.8800,"methodology":"fee schedule"}]}]},{"description":"Salmonella Antibody","code_information":[
                 { "code": "86768", "type": "CPT" } ],"standard_charges":[{"minimum":12.5800,"maximum":18.5600,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.6500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.1900,"methodology":"fee schedule"}]}]},{"description":"Shigella Antibody","code_information":[
                 { "code": "86771", "type": "CPT" } ],"standard_charges":[{"minimum":12.5800,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.4800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.4800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.4800,"methodology":"fee schedule"}]}]},{"description":"Tetanus Antibody","code_information":[
                 { "code": "86774", "type": "CPT" } ],"standard_charges":[{"minimum":14.1100,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.4400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.1100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"}]}]},{"description":"Toxoplasma Antibody","code_information":[
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                 { "code": "86804", "type": "CPT" } ],"standard_charges":[{"minimum":14.7700,"maximum":210.0000,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.8000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":210.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.8000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":21.8000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":116.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":210.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":21.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.8000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":21.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.4900,"methodology":"fee schedule"}]}]},{"description":"Lymphocytotoxicity Assay","code_information":[
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                 { "code": "86816", "type": "CPT" } ],"standard_charges":[{"minimum":26.5700,"maximum":260.0000,"gross_charge":312.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.1700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":260.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":39.2100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":39.2100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":30.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":39.2100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":39.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":260.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":39.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":39.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.1700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":39.2100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":39.2100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.1700,"methodology":"fee schedule"}]}]},{"description":"Hla Typing Dr\/dq","code_information":[
                 { "code": "86817", "type": "CPT" } ],"standard_charges":[{"minimum":61.3900,"maximum":106.1400,"gross_charge":108.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":90.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":106.1400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":90.6100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":106.1400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":61.3900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":90.6100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":90.6100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":90.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":90.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":106.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":90.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":90.6100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.6100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":106.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":90.6100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":106.1400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":90.6100,"methodology":"fee schedule"}]}]},{"description":"Lymphocyte Culture Mixed","code_information":[
                 { "code": "86821", "type": "CPT" } ],"standard_charges":[{"minimum":36.5600,"maximum":80.0000,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":79.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":79.4500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":79.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":53.8400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":53.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":79.4500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":79.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":79.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":79.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":79.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":79.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":79.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":40.6200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":79.4500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.5600,"methodology":"fee schedule"}]}]},{"description":"Rbc Antibody Screen","code_information":[
                 { "code": "86850", "type": "CPT" } ],"standard_charges":[{"minimum":9.0000,"maximum":60.4800,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.7700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":57.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.7700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"}]}]},{"description":"Rbc Antibody Elution","code_information":[
                 { "code": "86860", "type": "CPT" } ],"standard_charges":[{"minimum":70.0000,"maximum":80.5000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":76.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":80.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"}]}]},{"description":"Rbc Antibody Identification","code_information":[
                 { "code": "86870", "type": "CPT" } ],"standard_charges":[{"minimum":50.0000,"maximum":108.5000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":52.1500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":103.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":108.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Coombs Test Indirect Titer","code_information":[
                 { "code": "86886", "type": "CPT" } ],"standard_charges":[{"minimum":4.9400,"maximum":7.0000,"gross_charge":49.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.7500,"methodology":"fee schedule"}]}]},{"description":"Autologous Blood Process","code_information":[
                 { "code": "86890", "type": "CPT" } ],"standard_charges":[{"minimum":80.0000,"maximum":290.0000,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":290.0000,"methodology":"fee schedule"}]}]},{"description":"Autologous Blood Op Salvage","code_information":[
                 { "code": "86891", "type": "CPT" } ],"standard_charges":[{"minimum":80.0000,"maximum":96.0000,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"}]}]},{"description":"Blood Type Antigen Donor Ea","code_information":[
                 { "code": "86902", "type": "CPT" } ],"standard_charges":[{"minimum":5.3800,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.3800,"methodology":"fee schedule"}]}]},{"description":"Blood Typing Rbc Antigens","code_information":[
                 { "code": "86905", "type": "CPT" } ],"standard_charges":[{"minimum":3.6500,"maximum":10.0000,"gross_charge":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.6500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.8300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.7300,"methodology":"fee schedule"}]}]},{"description":"Bld Typing Serologic Rh Phnt","code_information":[
                 { "code": "86906", "type": "CPT" } ],"standard_charges":[{"minimum":5.5400,"maximum":13.2300,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.5400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.7500,"methodology":"fee schedule"}]}]},{"description":"Compatibility Test Incubate","code_information":[
                 { "code": "86921", "type": "CPT" } ],"standard_charges":[{"minimum":30.0000,"maximum":36.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"}]}]},{"description":"Frozen Blood Thaw","code_information":[
                 { "code": "86931", "type": "CPT" } ],"standard_charges":[{"minimum":15.0000,"maximum":15.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Frozen Blood Freeze\/thaw","code_information":[
                 { "code": "86932", "type": "CPT" } ],"standard_charges":[{"minimum":120.0000,"maximum":120.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":120.0000,"methodology":"fee schedule"}]}]},{"description":"Hemolysins\/agglutinins Auto","code_information":[
                 { "code": "86940", "type": "CPT" } ],"standard_charges":[{"minimum":6.8200,"maximum":11.5400,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.7700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.7700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.7700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.5400,"methodology":"fee schedule"}]}]},{"description":"Hemolysins\/agglutinins","code_information":[
                 { "code": "86941", "type": "CPT" } ],"standard_charges":[{"minimum":11.5400,"maximum":25.0000,"gross_charge":42.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.4500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":17.0400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1100,"methodology":"fee schedule"}]}]},{"description":"Blood Product\/irradiation","code_information":[
                 { "code": "86945", "type": "CPT" } ],"standard_charges":[{"minimum":30.0000,"maximum":36.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":31.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"}]}]},{"description":"Leukacyte Transfusion","code_information":[
                 { "code": "86950", "type": "CPT" } ],"standard_charges":[{"minimum":125.0000,"maximum":150.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"Split Blood Or Products","code_information":[
                 { "code": "86985", "type": "CPT" } ],"standard_charges":[{"minimum":100.0000,"maximum":100.0000,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":100.0000,"methodology":"fee schedule"}]}]},{"description":"Small Animal Inoculation","code_information":[
                 { "code": "87003", "type": "CPT" } ],"standard_charges":[{"minimum":16.0500,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.6900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.7100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":23.6900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.6900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.6900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":23.6900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.6900,"methodology":"fee schedule"}]}]},{"description":"Specimen Infect Agnt Concntj","code_information":[
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                 { "code": "87164", "type": "CPT" } ],"standard_charges":[{"minimum":10.2400,"maximum":15.1200,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.9300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.1200,"methodology":"fee schedule"}]}]},{"description":"Dark Field Exam W\/o Collj","code_information":[
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                 { "code": "87172", "type": "CPT" } ],"standard_charges":[{"minimum":4.0700,"maximum":10.0000,"gross_charge":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.2700,"methodology":"fee schedule"}]}]},{"description":"Tissue Homogenization Cultr","code_information":[
                 { "code": "87176", "type": "CPT" } ],"standard_charges":[{"minimum":5.6100,"maximum":10.0000,"gross_charge":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.8800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.8800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.6100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.8800,"methodology":"fee schedule"}]}]},{"description":"Ova And Parasites Smears","code_information":[
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                 { "code": "87206", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":7.5600,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.9900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.3900,"methodology":"fee schedule"}]}]},{"description":"Smear Special Stain","code_information":[
                 { "code": "87207", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":8.4400,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.7100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.9900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.9900,"methodology":"fee schedule"}]}]},{"description":"Smear Wet Mount Saline\/ink","code_information":[
                 { "code": "87210", "type": "CPT" } ],"standard_charges":[{"minimum":2.9300,"maximum":7.0000,"gross_charge":6.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":2.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.8200,"methodology":"fee schedule"}]}]},{"description":"Tissue Exam For Fungi","code_information":[
                 { "code": "87220", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":6.0000,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.2700,"methodology":"fee schedule"}]}]},{"description":"Toxin\/antitoxin Asy Tiss Cul","code_information":[
                 { "code": "87230", "type": "CPT" } ],"standard_charges":[{"minimum":8.3400,"maximum":21.9300,"gross_charge":160.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.7400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.7400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.9300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":12.3100,"methodology":"fee schedule"}]}]},{"description":"Virus Inoculate Eggs\/animal","code_information":[
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                 { "code": "87253", "type": "CPT" } ],"standard_charges":[{"minimum":19.2600,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.2000,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.4200,"methodology":"fee schedule"}]}]},{"description":"Genet Virus Isolate Hsv","code_information":[
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                 { "code": "87270", "type": "CPT" } ],"standard_charges":[{"minimum":11.9800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.3500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"}]}]},{"description":"Cytomegalovirus Dfa","code_information":[
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                 { "code": "87273", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":25.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.9800,"methodology":"fee schedule"}]}]},{"description":"Herpes Simplex 1 Ag If","code_information":[
                 { "code": "87274", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":25.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"}]}]},{"description":"Influenza B Ag If","code_information":[
                 { "code": "87275", "type": "CPT" } ],"standard_charges":[{"minimum":12.2500,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.2500,"methodology":"fee schedule"}]}]},{"description":"Influenza A Ag If","code_information":[
                 { "code": "87276", "type": "CPT" } ],"standard_charges":[{"minimum":13.3500,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.3500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"}]}]},{"description":"Legion Pneumophilia Ag If","code_information":[
                 { "code": "87278", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.6000,"methodology":"fee schedule"}]}]},{"description":"Parainfluenza Ag If","code_information":[
                 { "code": "87279", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.4300,"methodology":"fee schedule"}]}]},{"description":"Respiratory Syncytial Ag If","code_information":[
                 { "code": "87280", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.4200,"methodology":"fee schedule"}]}]},{"description":"Pneumocystis Carinii Ag If","code_information":[
                 { "code": "87281", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.9800,"methodology":"fee schedule"}]}]},{"description":"Rubeola Ag If","code_information":[
                 { "code": "87283", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":60.8000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":60.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":60.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":60.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":60.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":60.8000,"methodology":"fee schedule"}]}]},{"description":"Treponema Pallidum Ag If","code_information":[
                 { "code": "87285", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.1800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"}]}]},{"description":"Varicella Zoster Ag If","code_information":[
                 { "code": "87290", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"}]}]},{"description":"Antibody Detection Nos If","code_information":[
                 { "code": "87299", "type": "CPT" } ],"standard_charges":[{"minimum":15.2200,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"}]}]},{"description":"Adenovirus Ag Ia","code_information":[
                 { "code": "87301", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"}]}]},{"description":"Chylmd Trach Ag Ia","code_information":[
                 { "code": "87320", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"}]}]},{"description":"Clostridium Ag Ia","code_information":[
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                 { "code": "87341", "type": "CPT" } ],"standard_charges":[{"minimum":9.8500,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.3300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.8500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.3300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"}]}]},{"description":"Hepatitis Be Ag Ia","code_information":[
                 { "code": "87350", "type": "CPT" } ],"standard_charges":[{"minimum":10.9900,"maximum":20.0000,"gross_charge":64.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.5300,"methodology":"fee schedule"}]}]},{"description":"Histoplasma Capsul Ag Ia","code_information":[
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                 { "code": "87400", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.1300,"methodology":"fee schedule"}]}]},{"description":"Rotavirus Ag Ia","code_information":[
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                 { "code": "87426", "type": "CPT" } ],"standard_charges":[{"minimum":30.0000,"maximum":51.3300,"gross_charge":101.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":42.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":42.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":40.7200,"methodology":"fee schedule"}]}]},{"description":"Shiga-like Toxin Ag Ia","code_information":[
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                 { "code": "87520", "type": "CPT" } ],"standard_charges":[{"minimum":19.1200,"maximum":263.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":31.2200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":31.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":31.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":263.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":31.2200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"}]}]},{"description":"Hepatitis C Probervrs Trnsc","code_information":[
                 { "code": "87521", "type": "CPT" } ],"standard_charges":[{"minimum":33.4600,"maximum":265.0000,"gross_charge":357.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.4600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":265.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":38.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.0900,"methodology":"fee schedule"}]}]},{"description":"Hepatitis C Revrs Trnscrpj","code_information":[
                 { "code": "87522", "type": "CPT" } ],"standard_charges":[{"minimum":42.8400,"maximum":415.0000,"gross_charge":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":60.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":42.8400,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":60.2800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":52.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":52.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":42.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":60.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":60.2800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":415.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":60.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":60.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":60.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":42.8400,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":60.2800,"methodology":"fee schedule"}]}]},{"description":"Hepatitis G Dna Dir Probe","code_information":[
                 { "code": "87525", "type": "CPT" } ],"standard_charges":[{"minimum":19.1200,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.8000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.1200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.8000,"methodology":"fee schedule"}]}]},{"description":"Hepatitis G Dna Amp Probe","code_information":[
                 { "code": "87526", "type": "CPT" } ],"standard_charges":[{"minimum":33.4600,"maximum":50.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":39.2600,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":39.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":39.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":39.2600,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"}]}]},{"description":"Hepatitis G Dna Quant","code_information":[
                 { "code": "87527", "type": "CPT" } ],"standard_charges":[{"minimum":39.8200,"maximum":60.0000,"gross_charge":72.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":58.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":41.7600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":58.7500,"methodology":"fee schedule"},{"payer_name":"ACCA","plan_name":"ACAA Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":58.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":41.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":58.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":41.7600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Commercial","standard_charge_dollar":58.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":58.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":58.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":58.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":46.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":58.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":58.7500,"methodology":"fee schedule"},{"payer_name":"Plan Auxilio Mutuo","plan_name":"Plan Auxilio Mutuo Commercial","standard_charge_dollar":58.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.7600,"methodology":"fee schedule"}]}]},{"description":"Hsv Dna Dir Probe","code_information":[
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