{"hospital_name":"Hosp Metropolitano Dr Susoni","last_updated_on":"2026-08-23","version":"3.0.0","location_name":["Hosp Metropolitano Dr Susoni"],"hospital_address":["CALLE PALMA NUMERO 55, PO Box 145200, ARECIBO, PR 00612"],"type_2_npi":["1104862044"],"license_information":{"license_number":"32, PR","state":"PR"},"attestation":{"attestation":"To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.","attester_name":"Lcda. Deborah Acevedo","confirm_attestation":true},"standard_charge_information":[{"description":"Microsomal Antibody Each","code_information":[
                 { "code": "148", "type": "CPT" } ],"standard_charges":[{"minimum":17.9600,"maximum":58.0000,"gross_charge":65.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"}]}]},{"description":"Drug Test Prsmv Dir Opt Obs","code_information":[
                 { "code": "0082U", "type": "CPT" } ],"standard_charges":[{"minimum":10.5000,"maximum":19.7200,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.7200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.7200,"methodology":"fee schedule"}]}]},{"description":"X-ray Urethra\/bladder","code_information":[
                 { "code": "7445", "type": "CPT" } ],"standard_charges":[{"minimum":18.7200,"maximum":132.7200,"gross_charge":314.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.7200,"methodology":"fee schedule"}]}]},{"description":"X-ray Female Genital Tract","code_information":[
                 { "code": "7474", "type": "CPT" } ],"standard_charges":[{"minimum":18.7200,"maximum":97.6000,"gross_charge":380.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.7200,"methodology":"fee schedule"}]}]},{"description":"Vein X-ray Arm\/leg","code_information":[
                 { "code": "7582", "type": "CPT" } ],"standard_charges":[{"minimum":18.7200,"maximum":118.2700,"gross_charge":422.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.7200,"methodology":"fee schedule"}]}]},{"description":"Coll Venous Bld Venipuncture","code_information":[
                 { "code": "36415", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":8.5700,"gross_charge":5.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.5700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.0000,"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 Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Eye For Foreign Body","code_information":[
                 { "code": "70030", "type": "CPT" } ],"standard_charges":[{"minimum":16.8000,"maximum":37.9100,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.8700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":33.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.0700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.8700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":26.0700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":28.5800,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Jaw <4views","code_information":[
                 { "code": "70100", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":45.5200,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.3100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.9000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":40.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":39.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":39.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":45.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.4500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.1400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":33.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Jaw 4\/> Views","code_information":[
                 { "code": "70110", "type": "CPT" } ],"standard_charges":[{"minimum":21.0000,"maximum":51.7500,"gross_charge":268.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":51.7500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":44.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":44.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":44.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":45.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":40.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":49.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":51.7500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":44.0500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.9100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":36.1900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":38.7000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Mastoids","code_information":[
                 { "code": "70120", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":45.6500,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.3100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.8200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":39.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":40.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":39.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":39.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":45.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.3700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":34.0200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.8200,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Mastoids","code_information":[
                 { "code": "70130", "type": "CPT" } ],"standard_charges":[{"minimum":23.8000,"maximum":71.6500,"gross_charge":268.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":44.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":63.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":64.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":63.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":58.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":65.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":58.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":71.6500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":42.9000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":42.9000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":58.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":51.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":44.4900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":55.3400,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Middle Ear","code_information":[
                 { "code": "70134", "type": "CPT" } ],"standard_charges":[{"minimum":35.0000,"maximum":112.5000,"gross_charge":162.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":62.6900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":112.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":53.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":64.0800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":62.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":52.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":42.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":53.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":78.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":112.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":53.7000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":42.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":48.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Facial Bones","code_information":[
                 { "code": "70140", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":35.5700,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.7900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":32.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":33.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":35.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.7900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.7900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.7900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.5100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":30.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.8400,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Facial Bones","code_information":[
                 { "code": "70150", "type": "CPT" } ],"standard_charges":[{"minimum":23.8000,"maximum":53.7800,"gross_charge":214.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":43.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":47.7800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":49.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.7800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":47.7800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":32.3200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":32.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":44.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":53.7800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":32.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":39.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":42.3200,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Nasal Bones","code_information":[
                 { "code": "70160", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":45.3900,"gross_charge":152.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.1000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":38.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":38.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":38.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":39.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":45.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":38.9700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":33.6600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Tear Duct","code_information":[
                 { "code": "70170", "type": "CPT" } ],"standard_charges":[{"minimum":16.8000,"maximum":327.6900,"gross_charge":196.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":38.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":247.9800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":57.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":154.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":247.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":152.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":154.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":57.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":327.6900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":39.2400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":38.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":154.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":39.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Eye Sockets","code_information":[
                 { "code": "70190", "type": "CPT" } ],"standard_charges":[{"minimum":16.8000,"maximum":46.0000,"gross_charge":224.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":46.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":38.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":38.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":38.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":39.7000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":37.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":42.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":46.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":38.2900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.9300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":36.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":33.6700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.3900,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Eye Sockets","code_information":[
                 { "code": "70200", "type": "CPT" } ],"standard_charges":[{"minimum":23.8000,"maximum":54.1700,"gross_charge":224.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":48.7900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":33.2300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":41.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":44.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":50.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":48.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":49.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":44.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":41.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":54.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":33.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":44.9200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":40.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":43.4000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Sinuses","code_information":[
                 { "code": "70210", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":37.9100,"gross_charge":224.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":32.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.2100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":33.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":30.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.6100,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Sinuses","code_information":[
                 { "code": "70220", "type": "CPT" } ],"standard_charges":[{"minimum":23.8000,"maximum":43.8800,"gross_charge":246.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":38.3000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":38.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":39.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":38.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":38.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":40.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":39.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":43.8800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.6700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":35.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":38.3400,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Pituitary Saddle","code_information":[
                 { "code": "70240", "type": "CPT" } ],"standard_charges":[{"minimum":10.5000,"maximum":37.5000,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":37.5000,"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":33.5500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":34.4700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.7800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":32.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.2400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":31.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.1100,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Skull","code_information":[
                 { "code": "70250", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":41.7600,"gross_charge":224.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":36.6000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":37.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":39.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":41.7600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.9500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":35.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":37.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.4100,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Skull","code_information":[
                 { "code": "70260", "type": "CPT" } ],"standard_charges":[{"minimum":26.6000,"maximum":49.4000,"gross_charge":246.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":26.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.1900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":45.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":45.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":48.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":46.6500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":36.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":48.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":49.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":36.2100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":48.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.1900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":46.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":45.2800,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Teeth","code_information":[
                 { "code": "70300", "type": "CPT" } ],"standard_charges":[{"minimum":4.9000,"maximum":21.7500,"gross_charge":12.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.1800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.9000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.9500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":15.1800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.1800,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Teeth","code_information":[
                 { "code": "70310", "type": "CPT" } ],"standard_charges":[{"minimum":9.8000,"maximum":53.6600,"gross_charge":24.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.9800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":37.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":39.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":38.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":53.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":38.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.0800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":38.4200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.4100,"methodology":"fee schedule"}]}]},{"description":"Full Mouth X-ray Of Teeth","code_information":[
                 { "code": "70320", "type": "CPT" } ],"standard_charges":[{"minimum":19.6000,"maximum":63.9900,"gross_charge":30.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":55.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":53.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.4200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":55.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":42.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":55.4500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":53.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":34.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":55.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":63.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":31.6600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":46.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Jaw Joint","code_information":[
                 { "code": "70328", "type": "CPT" } ],"standard_charges":[{"minimum":11.9000,"maximum":40.0100,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.9000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.0500,"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":35.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":36.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":32.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":40.0100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.1500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.0500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.1500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.2400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":31.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.3400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Jaw Joints","code_information":[
                 { "code": "70330", "type": "CPT" } ],"standard_charges":[{"minimum":19.6000,"maximum":63.2600,"gross_charge":268.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":53.8800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":53.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":55.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":53.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":55.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":36.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":63.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":36.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":53.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":42.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":48.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.2500,"methodology":"fee schedule"}]}]},{"description":"Magnetic Image Jaw Joint","code_information":[
                 { "code": "70336", "type": "CPT" } ],"standard_charges":[{"minimum":200.3100,"maximum":663.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":663.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":263.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":281.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":241.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":281.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":307.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":293.2300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":292.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":307.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":307.6800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":281.6100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":200.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":216.5300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":495.1000,"methodology":"fee schedule"}]}]},{"description":"X-ray Head For Orthodontia","code_information":[
                 { "code": "70350", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":60.1900,"gross_charge":24.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.6000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":60.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":60.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.5700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":60.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.3400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":19.8600,"methodology":"fee schedule"}]}]},{"description":"Panoramic X-ray Of Jaws","code_information":[
                 { "code": "70355", "type": "CPT" } ],"standard_charges":[{"minimum":16.4300,"maximum":25.0000,"gross_charge":30.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.9000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.3000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":23.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":21.3100,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Neck","code_information":[
                 { "code": "70360", "type": "CPT" } ],"standard_charges":[{"minimum":9.8000,"maximum":36.4700,"gross_charge":90.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":32.1900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.9400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":32.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.7100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.1900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.9400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":36.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.1900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":28.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Throat X-ray  Fluoroscopy","code_information":[
                 { "code": "70370", "type": "CPT" } ],"standard_charges":[{"minimum":28.7000,"maximum":123.7300,"gross_charge":280.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":28.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":78.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":106.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":59.9600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":101.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":77.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":77.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":67.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":77.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":78.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":123.7300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":62.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":59.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":77.9400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":62.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":62.8100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":73.4700,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Salivary Gland","code_information":[
                 { "code": "70380", "type": "CPT" } ],"standard_charges":[{"minimum":19.6000,"maximum":44.9200,"gross_charge":202.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":38.2900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":39.3600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":38.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":34.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":44.9200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.5000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.5000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":32.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":29.1100,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Salivary Duct","code_information":[
                 { "code": "70390", "type": "CPT" } ],"standard_charges":[{"minimum":21.0000,"maximum":149.1800,"gross_charge":196.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":74.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":120.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":120.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":103.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":105.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":125.8000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":74.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":105.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":149.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":105.1300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":74.4300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":81.0500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":96.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":74.3900,"methodology":"fee schedule"}]}]},{"description":"Ct Head\/brain W\/o Dye","code_information":[
                 { "code": "70450", "type": "CPT" } ],"standard_charges":[{"minimum":107.2900,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":111.4800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":122.0800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":163.6200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":108.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":113.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":107.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":111.4800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":133.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":116.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":225.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":111.4800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":111.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":122.0800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":177.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":117.7300,"methodology":"fee schedule"}]}]},{"description":"Ct Head\/brain W\/dye","code_information":[
                 { "code": "70460", "type": "CPT" } ],"standard_charges":[{"minimum":153.0100,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":306.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":160.2900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":155.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":155.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":153.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":280.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":155.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":160.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":161.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":225.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":174.9000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":160.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":155.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":174.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":169.9100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":290.0700,"methodology":"fee schedule"}]}]},{"description":"Ct Head\/brain W\/o  W\/dye","code_information":[
                 { "code": "70470", "type": "CPT" } ],"standard_charges":[{"minimum":163.1400,"maximum":650.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":182.9900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":163.1400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":382.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":182.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":188.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":182.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":180.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":280.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":182.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":187.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":189.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":231.9900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":182.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":197.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":294.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":163.1400,"methodology":"fee schedule"}]}]},{"description":"Ct Orbit\/ear\/fossa W\/o Dye","code_information":[
                 { "code": "70480", "type": "CPT" } ],"standard_charges":[{"minimum":160.2200,"maximum":357.6400,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":183.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":166.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":160.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":172.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":166.7200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":222.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":166.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":166.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":171.2100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":185.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":180.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":225.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":185.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":185.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":172.4800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":357.6400,"methodology":"fee schedule"}]}]},{"description":"Ct Orbit\/ear\/fossa W\/dye","code_information":[
                 { "code": "70481", "type": "CPT" } ],"standard_charges":[{"minimum":190.4500,"maximum":423.3900,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":190.4500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":306.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":234.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":274.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":202.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":274.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":190.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":213.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":234.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":274.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":246.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":251.9700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":251.9700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":423.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":270.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"}]}]},{"description":"Ct Orbit\/ear\/fossa W\/ow\/dye","code_information":[
                 { "code": "70482", "type": "CPT" } ],"standard_charges":[{"minimum":222.3000,"maximum":650.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":259.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":382.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":222.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":227.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":277.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":230.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":277.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":271.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":259.3200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":281.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":277.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":281.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":292.4700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":461.4100,"methodology":"fee schedule"}]}]},{"description":"Ct Maxillofacial W\/o Dye","code_information":[
                 { "code": "70486", "type": "CPT" } ],"standard_charges":[{"minimum":129.3800,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":134.8700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":166.6300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":163.6300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":134.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":137.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":134.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":129.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":136.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":225.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":179.3900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":134.8700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":134.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":141.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":166.6300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":213.7800,"methodology":"fee schedule"}]}]},{"description":"Ct Maxillofacial W\/dye","code_information":[
                 { "code": "70487", "type": "CPT" } ],"standard_charges":[{"minimum":159.9500,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":306.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":201.9900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":159.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":172.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":280.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":159.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":159.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":164.2900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":217.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":170.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":225.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":159.9500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":217.7800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":201.9900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":257.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":173.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"}]}]},{"description":"Ct Maxillofacial W\/o  W\/dye","code_information":[
                 { "code": "70488", "type": "CPT" } ],"standard_charges":[{"minimum":194.8500,"maximum":650.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":194.8500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":241.6800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":382.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":207.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":200.8700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":194.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":195.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":261.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":207.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":243.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":207.9400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":261.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":207.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":313.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":241.6800,"methodology":"fee schedule"}]}]},{"description":"Ct Soft Tissue Neck W\/o Dye","code_information":[
                 { "code": "70490", "type": "CPT" } ],"standard_charges":[{"minimum":151.3300,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":280.5100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":165.7900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":157.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":151.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":157.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":157.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":162.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":167.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":225.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":178.7900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":157.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":157.9100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":258.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":165.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":178.8300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"}]}]},{"description":"Ct Soft Tissue Neck W\/dye","code_information":[
                 { "code": "70491", "type": "CPT" } ],"standard_charges":[{"minimum":186.3500,"maximum":350.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":194.5100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":198.2600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":306.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":194.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":200.1400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":194.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":186.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":214.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":197.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":238.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":198.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":194.5100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":214.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":210.8000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":311.9100,"methodology":"fee schedule"}]}]},{"description":"Ct Sft Tsue Nck W\/o  W\/dye","code_information":[
                 { "code": "70492", "type": "CPT" } ],"standard_charges":[{"minimum":216.0700,"maximum":382.5000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":382.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":233.8200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":234.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":216.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":290.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":233.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":233.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":240.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":234.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":249.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":266.5600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":255.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":255.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":233.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":247.0800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":375.9600,"methodology":"fee schedule"}]}]},{"description":"Ct Angiography Head","code_information":[
                 { "code": "70496", "type": "CPT" } ],"standard_charges":[{"minimum":264.3200,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":264.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":264.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":300.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":290.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":295.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":269.0700,"methodology":"fee schedule"}]}]},{"description":"Ct Angiography Neck","code_information":[
                 { "code": "70498", "type": "CPT" } ],"standard_charges":[{"minimum":264.3200,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":264.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":264.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":264.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":269.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":290.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":290.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":292.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":264.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":295.3400,"methodology":"fee schedule"}]}]},{"description":"Mri Orbit\/face\/neck W\/o Dye","code_information":[
                 { "code": "70540", "type": "CPT" } ],"standard_charges":[{"minimum":220.6000,"maximum":663.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":287.0600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":663.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":239.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":239.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":248.6200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":239.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":269.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":229.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":270.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":287.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":239.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":239.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":220.6000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":416.8800,"methodology":"fee schedule"}]}]},{"description":"Mri Orbit\/face\/neck W\/dye","code_information":[
                 { "code": "70542", "type": "CPT" } ],"standard_charges":[{"minimum":262.3900,"maximum":828.7500,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":284.9900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":828.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":332.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":281.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":775.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":284.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":284.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":295.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":365.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":322.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":262.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":284.9900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":284.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":262.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":494.4900,"methodology":"fee schedule"}]}]},{"description":"Mri Orbt\/fac\/nck W\/o W\/dye","code_information":[
                 { "code": "70543", "type": "CPT" } ],"standard_charges":[{"minimum":227.5600,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":828.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":409.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":359.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":404.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":372.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":404.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":359.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":311.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":620.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":404.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":500.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":454.3700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":359.8800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":620.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":317.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":227.5600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"}]}]},{"description":"Mr Angiography Head W\/o Dye","code_information":[
                 { "code": "70544", "type": "CPT" } ],"standard_charges":[{"minimum":211.5400,"maximum":650.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":227.7200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":225.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":455.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":227.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":227.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":235.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":329.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":499.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":227.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":211.5400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":503.9500,"methodology":"fee schedule"}]}]},{"description":"Mr Angiography Head W\/dye","code_information":[
                 { "code": "70545", "type": "CPT" } ],"standard_charges":[{"minimum":233.2800,"maximum":650.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":271.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":240.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":238.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":240.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":247.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":240.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":233.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":499.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":271.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":240.6000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":499.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":238.5600,"methodology":"fee schedule"}]}]},{"description":"Mr Angiograph Head W\/ow\/dye","code_information":[
                 { "code": "70546", "type": "CPT" } ],"standard_charges":[{"minimum":338.7000,"maximum":775.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":349.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":775.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":348.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":348.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":416.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":416.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":359.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":416.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":521.6300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":338.7000,"methodology":"fee schedule"}]}]},{"description":"Mr Angiography Neck W\/o Dye","code_information":[
                 { "code": "70547", "type": "CPT" } ],"standard_charges":[{"minimum":211.5400,"maximum":650.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":228.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":285.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":235.7600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":228.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":225.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":455.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":302.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":499.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":285.2500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":211.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":506.6700,"methodology":"fee schedule"}]}]},{"description":"Mr Angiography Neck W\/dye","code_information":[
                 { "code": "70548", "type": "CPT" } ],"standard_charges":[{"minimum":243.4700,"maximum":650.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":243.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":260.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":346.9200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":260.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":260.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":268.4600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":260.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":295.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":313.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":499.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":553.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":251.6500,"methodology":"fee schedule"}]}]},{"description":"Mri Brain Stem W\/o Dye","code_information":[
                 { "code": "70551", "type": "CPT" } ],"standard_charges":[{"minimum":198.6000,"maximum":663.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":663.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":292.8700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":207.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":198.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":520.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":207.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":213.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":207.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":225.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":292.9900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":207.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":207.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":237.0100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":355.3600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":229.3800,"methodology":"fee schedule"}]}]},{"description":"Mri Brain Stem W\/dye","code_information":[
                 { "code": "70552", "type": "CPT" } ],"standard_charges":[{"minimum":272.2800,"maximum":765.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":286.6800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":765.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":348.7700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":286.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":282.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":280.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":295.2400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":272.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":372.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":315.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":286.6800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":286.6800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":492.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":298.5100,"methodology":"fee schedule"}]}]},{"description":"Mri Brain Stem W\/o  W\/dye","code_information":[
                 { "code": "70553", "type": "CPT" } ],"standard_charges":[{"minimum":310.3400,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":411.4300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":956.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":337.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":315.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":542.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":337.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":348.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":337.5100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":337.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":375.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":310.3400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":463.7600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":337.5100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":383.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":581.1300,"methodology":"fee schedule"}]}]},{"description":"Fmri Brain By Tech","code_information":[
                 { "code": "70554", "type": "CPT" } ],"standard_charges":[{"minimum":276.4100,"maximum":775.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":401.9000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":401.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":338.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":775.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":449.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":449.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":416.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":449.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":312.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":276.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"}]}]},{"description":"Fmri Brain By Phys\/psych","code_information":[
                 { "code": "70555", "type": "CPT" } ],"standard_charges":[{"minimum":239.9200,"maximum":975.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":239.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":470.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":358.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":470.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":775.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":470.3200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":975.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":374.5700,"methodology":"fee schedule"}]}]},{"description":"Mri Brain W\/o  W\/dye","code_information":[
                 { "code": "70559", "type": "CPT" } ],"standard_charges":[{"minimum":340.4700,"maximum":775.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":508.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":775.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":340.4700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":509.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":464.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":509.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":397.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":509.6300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":464.2200,"methodology":"fee schedule"}]}]},{"description":"Mr Ang Lwr Ext W Or W\/o Dye","code_information":[
                 { "code": "70725", "type": "CPT" } ],"standard_charges":[{"minimum":303.7800,"maximum":650.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Chest 1 View","code_information":[
                 { "code": "71010", "type": "CPT" } ],"standard_charges":[{"minimum":12.7500,"maximum":46.4000,"gross_charge":112.0000,"setting":"both","payers_information":[{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":12.7500,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Chest 2 Views","code_information":[
                 { "code": "71015", "type": "CPT" } ],"standard_charges":[{"minimum":22.7500,"maximum":39.0000,"gross_charge":92.0000,"setting":"both","payers_information":[{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":22.7500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.2300,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Chest 2 Views","code_information":[
                 { "code": "71020", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":39.0000,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":18.7500,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Chest 3 Views","code_information":[
                 { "code": "71021", "type": "CPT" } ],"standard_charges":[{"minimum":19.6000,"maximum":55.5000,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.7300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.7400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":22.7500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.7300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.6000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Chest 3 Views","code_information":[
                 { "code": "71023", "type": "CPT" } ],"standard_charges":[{"minimum":22.7500,"maximum":62.2500,"gross_charge":152.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":49.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":49.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":50.7200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":22.7500,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Chest 4 Views","code_information":[
                 { "code": "71030", "type": "CPT" } ],"standard_charges":[{"minimum":29.8800,"maximum":60.0000,"gross_charge":314.0000,"setting":"both","payers_information":[{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":34.9600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":34.9400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":31.5000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Chest 4 Views","code_information":[
                 { "code": "71034", "type": "CPT" } ],"standard_charges":[{"minimum":14.0000,"maximum":133.2000,"gross_charge":140.0000,"setting":"both","payers_information":[{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":22.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":43.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":64.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":43.8200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":64.2700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":133.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":64.2700,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Chest 3 Views","code_information":[
                 { "code": "71035", "type": "CPT" } ],"standard_charges":[{"minimum":25.0000,"maximum":46.2700,"gross_charge":112.0000,"setting":"both","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.5900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.3800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":25.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.5900,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Chest 1 View","code_information":[
                 { "code": "71045", "type": "CPT" } ],"standard_charges":[{"minimum":12.7500,"maximum":46.4000,"gross_charge":112.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":26.4300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":46.4000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":46.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.4300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.9700,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Chest 2 Views","code_information":[
                 { "code": "71046", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":39.0000,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":34.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":34.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":31.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":31.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.1100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.2300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":31.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":31.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":34.2300,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Chest 3 Views","code_information":[
                 { "code": "71047", "type": "CPT" } ],"standard_charges":[{"minimum":22.7500,"maximum":62.2500,"gross_charge":152.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":62.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":55.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":43.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":43.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":43.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.6700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":39.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":39.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":39.7800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":43.0400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":43.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":40.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":40.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":40.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":40.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":40.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":40.7900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":50.7200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":40.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":40.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":40.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":46.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":46.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":46.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":62.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":55.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":40.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":40.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":40.5600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":37.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":37.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":37.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Chest 4 Views","code_information":[
                 { "code": "71048", "type": "CPT" } ],"standard_charges":[{"minimum":14.0000,"maximum":133.2000,"gross_charge":140.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":103.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":42.6600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":42.6600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":47.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":47.1000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.9400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":34.9600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":64.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":47.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":42.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":42.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":43.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":43.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":50.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":103.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":50.2100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":48.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":48.0400,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Ribs Uni 2 Views","code_information":[
                 { "code": "71100", "type": "CPT" } ],"standard_charges":[{"minimum":19.6000,"maximum":41.1300,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":37.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":38.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":33.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":41.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":31.8900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Unilat Ribs\/chest","code_information":[
                 { "code": "71101", "type": "CPT" } ],"standard_charges":[{"minimum":29.9000,"maximum":46.2500,"gross_charge":88.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":43.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":43.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":43.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":43.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":43.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":39.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":46.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.1200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.9000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":39.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":37.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Ribs Bil 3 Views","code_information":[
                 { "code": "71110", "type": "CPT" } ],"standard_charges":[{"minimum":23.8000,"maximum":49.0800,"gross_charge":202.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":44.7300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":42.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":44.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":44.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":45.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":31.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":39.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":49.0800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":44.7300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":39.2300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":40.8600,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Ribs\/chest4\/> Vws","code_information":[
                 { "code": "71111", "type": "CPT" } ],"standard_charges":[{"minimum":24.5000,"maximum":67.5000,"gross_charge":110.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":24.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":67.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":40.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":53.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":53.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":54.6600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":53.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":48.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":58.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":67.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":39.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":40.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":53.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":39.9100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":46.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":48.0900,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Breastbone 2\/>vws","code_information":[
                 { "code": "71120", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":40.5000,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.8100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.5000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.5900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":30.3700,"methodology":"fee schedule"}]}]},{"description":"X-ray Strenoclavic Jt 3\/>vws","code_information":[
                 { "code": "71130", "type": "CPT" } ],"standard_charges":[{"minimum":19.6000,"maximum":47.7100,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":46.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":42.0300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":42.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":42.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":43.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":42.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":37.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":38.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":46.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.9700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.9700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":36.8900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":33.9200,"methodology":"fee schedule"}]}]},{"description":"Ct Thorax Dx C-","code_information":[
                 { "code": "71250", "type": "CPT" } ],"standard_charges":[{"minimum":129.1400,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":139.9600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":154.7000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":163.6300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":139.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":129.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":136.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":143.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":154.7000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":170.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":163.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":246.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":139.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":139.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":166.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":250.0500,"methodology":"fee schedule"}]}]},{"description":"Ct Thorax Dx C","code_information":[
                 { "code": "71260", "type": "CPT" } ],"standard_charges":[{"minimum":165.1500,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":178.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":165.1500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":175.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":175.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":175.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":179.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":172.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":280.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":175.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":210.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":191.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":246.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":193.0300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":175.5300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":301.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":200.8600,"methodology":"fee schedule"}]}]},{"description":"Ct Thorax Dx C-\/c","code_information":[
                 { "code": "71270", "type": "CPT" } ],"standard_charges":[{"minimum":204.5600,"maximum":650.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":207.0500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":232.8600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":306.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":207.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":204.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":292.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":207.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":214.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":207.0500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":256.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":230.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":267.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":256.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":237.0100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":361.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":232.8600,"methodology":"fee schedule"}]}]},{"description":"Ct Angiography Chest","code_information":[
                 { "code": "71275", "type": "CPT" } ],"standard_charges":[{"minimum":259.5100,"maximum":460.6600,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":267.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":267.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":272.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":259.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":296.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":267.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":302.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":300.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":267.3700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":303.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":460.6600,"methodology":"fee schedule"}]}]},{"description":"Mri Chest W\/o Dye","code_information":[
                 { "code": "71550", "type": "CPT" } ],"standard_charges":[{"minimum":227.8800,"maximum":653.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":303.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":270.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":291.7300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":653.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":303.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":303.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":308.2200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":292.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":306.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":303.6300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":303.6300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":227.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":229.3800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":638.6700,"methodology":"fee schedule"}]}]},{"description":"Mri Chest W\/dye","code_information":[
                 { "code": "71551", "type": "CPT" } ],"standard_charges":[{"minimum":294.3800,"maximum":828.7500,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":828.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":377.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":398.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":457.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":415.2300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":398.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":346.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":370.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":457.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":565.1500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":303.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":398.1700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":457.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":294.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":703.2300,"methodology":"fee schedule"}]}]},{"description":"Mri Chest W\/o  W\/dye","code_information":[
                 { "code": "71552", "type": "CPT" } ],"standard_charges":[{"minimum":368.0900,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":468.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":477.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":437.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":775.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":828.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":477.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":504.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":489.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":372.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":504.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":618.6900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":459.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":504.5100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":477.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":368.0900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":891.0900,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Spine 1 View","code_information":[
                 { "code": "72020", "type": "CPT" } ],"standard_charges":[{"minimum":16.0000,"maximum":25.4000,"gross_charge":92.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.0700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.0700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.5000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":22.7800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.7300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Neck Spine 2-3 Vw","code_information":[
                 { "code": "72040", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":45.9200,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.7400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":40.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":40.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":41.0800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":40.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":32.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":45.9200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.2900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":40.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":40.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.7400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":33.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":33.4000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Neck Spine 4\/5vws","code_information":[
                 { "code": "72050", "type": "CPT" } ],"standard_charges":[{"minimum":23.8000,"maximum":63.1500,"gross_charge":268.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":54.2200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":49.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":54.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":54.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":55.3700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":39.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":51.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":63.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":54.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":39.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":43.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":46.2800,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Neck Spine 6\/>vws","code_information":[
                 { "code": "72052", "type": "CPT" } ],"standard_charges":[{"minimum":33.6000,"maximum":81.2500,"gross_charge":314.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":33.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":81.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":46.7300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":63.3700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":63.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":63.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":63.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":63.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":65.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":50.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":57.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":72.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":81.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":46.7300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":50.6700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":57.1400,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":53.1500,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Thorac Spine 2vws","code_information":[
                 { "code": "72070", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":37.3600,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":34.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":33.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.3600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":34.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.3900,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Thorac Spine 3vws","code_information":[
                 { "code": "72072", "type": "CPT" } ],"standard_charges":[{"minimum":27.9600,"maximum":44.2500,"gross_charge":90.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.9800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.9600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":39.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":39.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":40.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":34.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":44.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.9700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":39.9800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":35.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.6500,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Thorac Spine4\/>vw","code_information":[
                 { "code": "72074", "type": "CPT" } ],"standard_charges":[{"minimum":32.8100,"maximum":52.5000,"gross_charge":100.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":33.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":45.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":45.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":46.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":45.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":45.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":39.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":38.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":32.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":33.0300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":32.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":35.6700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":39.7900,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Thoracolmb 2\/> Vw","code_information":[
                 { "code": "72080", "type": "CPT" } ],"standard_charges":[{"minimum":15.4000,"maximum":38.6600,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.4400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":35.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":36.2100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.4400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":33.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":38.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.2100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.2500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":34.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.1400,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Entire Spi 1 Vw","code_information":[
                 { "code": "72081", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":38.2500,"gross_charge":92.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.5100,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Entire Spi 2\/3 Vw","code_information":[
                 { "code": "72082", "type": "CPT" } ],"standard_charges":[{"minimum":23.2500,"maximum":90.4000,"gross_charge":70.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":71.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":56.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":56.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":71.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":70.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":83.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":66.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":83.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":66.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":56.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":56.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":56.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":73.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":66.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":66.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":73.1500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":38.7800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":66.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":66.3100,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam L-s Spine 2\/3 Vws","code_information":[
                 { "code": "72100", "type": "CPT" } ],"standard_charges":[{"minimum":19.6000,"maximum":46.3900,"gross_charge":246.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":41.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.9700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":46.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":33.4700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":35.8100,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam L-2 Spine 4\/>vws","code_information":[
                 { "code": "72110", "type": "CPT" } ],"standard_charges":[{"minimum":28.7000,"maximum":63.0000,"gross_charge":268.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.9500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":28.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":46.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":52.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":53.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":52.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":52.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":53.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":52.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":49.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":46.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.9600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":37.6700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.9500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":52.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":46.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":46.3000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":49.9100,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam L-s Spine Bending","code_information":[
                 { "code": "72114", "type": "CPT" } ],"standard_charges":[{"minimum":32.0000,"maximum":79.9600,"gross_charge":162.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":46.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":63.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":46.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":63.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":64.4400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":63.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":57.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":47.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":48.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":62.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":46.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":72.2900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":48.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":63.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":55.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":46.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":79.9600,"methodology":"fee schedule"}]}]},{"description":"X-ray Bend Only L-s Spine","code_information":[
                 { "code": "72120", "type": "CPT" } ],"standard_charges":[{"minimum":19.6000,"maximum":46.4300,"gross_charge":290.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.5900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":41.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":42.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":43.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":42.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":43.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":43.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":46.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":32.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":31.5900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":32.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":37.2100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":41.6100,"methodology":"fee schedule"}]}]},{"description":"Ct Neck Spine W\/o Dye","code_information":[
                 { "code": "72125", "type": "CPT" } ],"standard_charges":[{"minimum":133.1500,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":133.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":134.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":158.4700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":163.6200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":133.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":140.2600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":136.2200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":173.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":167.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":225.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":136.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":136.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":170.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":283.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":158.4700,"methodology":"fee schedule"}]}]},{"description":"Ct Neck Spine W\/dye","code_information":[
                 { "code": "72126", "type": "CPT" } ],"standard_charges":[{"minimum":177.5700,"maximum":350.0700,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":306.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":192.5900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":177.5700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":177.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":224.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":280.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":231.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":182.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":231.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":231.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":229.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":210.9000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":192.5900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":210.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":225.8200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":350.0700,"methodology":"fee schedule"}]}]},{"description":"Ct Neck Spine W\/o  W\/dye","code_information":[
                 { "code": "72127", "type": "CPT" } ],"standard_charges":[{"minimum":208.0700,"maximum":650.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":212.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":208.0700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":382.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":228.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":208.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":215.1500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":208.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":228.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":268.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":257.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":251.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":208.0700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":251.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":261.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":414.7500,"methodology":"fee schedule"}]}]},{"description":"Ct Chest Spine W\/o Dye","code_information":[
                 { "code": "72128", "type": "CPT" } ],"standard_charges":[{"minimum":136.2200,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":280.5100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":136.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":154.7100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":136.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":137.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":136.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":139.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":184.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":246.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":170.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":154.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":136.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":170.0100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":277.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":165.5000,"methodology":"fee schedule"}]}]},{"description":"Ct Chest Spine W\/dye","code_information":[
                 { "code": "72129", "type": "CPT" } ],"standard_charges":[{"minimum":178.9200,"maximum":351.7000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":178.9200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":306.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":193.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":233.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":184.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":226.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":178.9200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":210.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":233.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":246.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":210.9000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":233.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":226.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":351.7000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":193.2800,"methodology":"fee schedule"}]}]},{"description":"Ct Chest Spine W\/o  W\/dye","code_information":[
                 { "code": "72130", "type": "CPT" } ],"standard_charges":[{"minimum":210.1000,"maximum":650.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":382.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":229.8100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":210.1000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":210.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":261.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":210.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":215.8600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":252.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":278.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":269.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":210.1000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":252.9900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":229.8100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":417.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":263.3800,"methodology":"fee schedule"}]}]},{"description":"Ct Lumbar Spine W\/o Dye","code_information":[
                 { "code": "72131", "type": "CPT" } ],"standard_charges":[{"minimum":130.5000,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":154.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":135.5500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":163.6200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":135.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":135.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":139.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":130.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":135.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":159.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":225.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":169.5500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":135.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":165.5000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":276.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":154.2500,"methodology":"fee schedule"}]}]},{"description":"Ct Lumbar Spine W\/dye","code_information":[
                 { "code": "72132", "type": "CPT" } ],"standard_charges":[{"minimum":173.0900,"maximum":350.0700,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":192.8200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":306.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":177.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":173.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":177.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":177.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":182.7400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":210.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":233.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":246.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":192.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":210.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":177.9100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":350.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":225.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"}]}]},{"description":"Ct Lumbar Spine W\/o  W\/dye","code_information":[
                 { "code": "72133", "type": "CPT" } ],"standard_charges":[{"minimum":208.7500,"maximum":650.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":208.7500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":382.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":228.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":208.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":214.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":208.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":212.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":294.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":228.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":268.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":267.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":208.7500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":252.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":252.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":261.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":413.6500,"methodology":"fee schedule"}]}]},{"description":"Mri Neck Spine W\/o Dye","code_information":[
                 { "code": "72141", "type": "CPT" } ],"standard_charges":[{"minimum":193.1000,"maximum":1104.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":278.4300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":663.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":201.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":193.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":201.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":201.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":208.4600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":298.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":219.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":201.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":201.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":1104.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":345.5700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":231.8700,"methodology":"fee schedule"}]}]},{"description":"Mri Neck Spine W\/dye","code_information":[
                 { "code": "72142", "type": "CPT" } ],"standard_charges":[{"minimum":230.5800,"maximum":775.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":291.7700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":765.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":356.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":291.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":302.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":291.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":292.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":775.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":274.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":327.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":378.6100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":291.7700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":291.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":230.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":502.0200,"methodology":"fee schedule"}]}]},{"description":"Mri Chest Spine W\/o Dye","code_information":[
                 { "code": "72146", "type": "CPT" } ],"standard_charges":[{"minimum":168.7200,"maximum":663.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":663.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":201.2900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":278.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":197.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":390.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":201.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":201.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":208.1100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":298.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":221.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":210.2300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":201.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":201.2900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":346.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":168.7200,"methodology":"fee schedule"}]}]},{"description":"Mri Chest Spine W\/dye","code_information":[
                 { "code": "72147", "type": "CPT" } ],"standard_charges":[{"minimum":228.6700,"maximum":775.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":317.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":289.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":249.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":775.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":765.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":289.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":299.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":289.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":235.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":318.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":352.3000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":289.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":289.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":228.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":498.2100,"methodology":"fee schedule"}]}]},{"description":"Mri Lumbar Spine W\/o Dye","code_information":[
                 { "code": "72148", "type": "CPT" } ],"standard_charges":[{"minimum":189.3000,"maximum":663.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":663.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":273.6600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":201.9600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":201.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":189.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":520.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":201.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":208.8100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":293.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":219.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":210.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":201.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":201.9600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":345.5700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":231.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"}]}]},{"description":"Mri Lumbar Spine W\/dye","code_information":[
                 { "code": "72149", "type": "CPT" } ],"standard_charges":[{"minimum":228.6400,"maximum":765.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":286.6800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":344.1600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":765.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":286.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":296.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":291.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":542.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":286.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":267.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":318.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":286.6800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":286.6800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":372.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":228.6400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":495.4800,"methodology":"fee schedule"}]}]},{"description":"Mri Neck Spine W\/o  W\/dye","code_information":[
                 { "code": "72156", "type": "CPT" } ],"standard_charges":[{"minimum":274.9900,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":956.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":413.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":339.2100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":339.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":274.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":465.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":339.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":350.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":339.2100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":471.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":381.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":303.4200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":339.2100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":584.4000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":277.2900,"methodology":"fee schedule"}]}]},{"description":"Mri Chest Spine W\/o  W\/dye","code_information":[
                 { "code": "72157", "type": "CPT" } ],"standard_charges":[{"minimum":275.9700,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":339.8800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":386.2200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":956.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":339.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":350.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":334.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":465.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":339.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":275.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":282.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":339.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":339.8800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":443.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":277.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":585.4800,"methodology":"fee schedule"}]}]},{"description":"Mri Lumbar Spine W\/o  W\/dye","code_information":[
                 { "code": "72158", "type": "CPT" } ],"standard_charges":[{"minimum":276.9400,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":956.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":403.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":338.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":338.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":342.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":465.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":338.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":349.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":338.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":368.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":462.0800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":338.5300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":583.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":301.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":276.9400,"methodology":"fee schedule"}]}]},{"description":"Mr Angio Spine W\/ow\/dye","code_information":[
                 { "code": "72159", "type": "CPT" } ],"standard_charges":[{"minimum":277.0400,"maximum":650.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":367.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":414.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":379.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":313.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":367.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":414.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":524.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":414.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":277.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":628.1500,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Pelvis","code_information":[
                 { "code": "72170", "type": "CPT" } ],"standard_charges":[{"minimum":10.5000,"maximum":32.5600,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5800,"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":28.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":28.8900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":31.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.4600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.7500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":32.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.1100,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Pelvis","code_information":[
                 { "code": "72190", "type": "CPT" } ],"standard_charges":[{"minimum":16.8000,"maximum":47.2700,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":43.0400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.1700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":43.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":43.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":40.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":43.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":37.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":31.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":43.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":34.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":32.1700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":38.7100,"methodology":"fee schedule"}]}]},{"description":"Ct Angiograph Pelv W\/ow\/dye","code_information":[
                 { "code": "72191", "type": "CPT" } ],"standard_charges":[{"minimum":266.0100,"maximum":469.3600,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":266.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":293.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":295.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":271.5100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":295.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":295.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":300.2800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":469.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":308.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":270.1600,"methodology":"fee schedule"}]}]},{"description":"Ct Pelvis W\/o Dye","code_information":[
                 { "code": "72192", "type": "CPT" } ],"standard_charges":[{"minimum":114.9800,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":280.5100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":130.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":139.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":139.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":143.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":134.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":192.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":139.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":143.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":246.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":165.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":130.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":165.4600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":139.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":114.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":223.9800,"methodology":"fee schedule"}]}]},{"description":"Ct Pelvis W\/dye","code_information":[
                 { "code": "72193", "type": "CPT" } ],"standard_charges":[{"minimum":157.3300,"maximum":346.8300,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":235.8600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":306.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":235.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":236.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":280.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":235.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":240.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":235.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":199.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":231.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":300.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":199.4000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":157.3300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":346.8300,"methodology":"fee schedule"}]}]},{"description":"Ct Pelvis W\/o  W\/dye","code_information":[
                 { "code": "72194", "type": "CPT" } ],"standard_charges":[{"minimum":176.7600,"maximum":650.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":382.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":238.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":223.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":238.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":238.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":243.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":238.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":266.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":284.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":265.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":300.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":253.1300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":253.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":176.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":399.5500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":223.5000,"methodology":"fee schedule"}]}]},{"description":"Mri Pelvis W\/o Dye","code_information":[
                 { "code": "72195", "type": "CPT" } ],"standard_charges":[{"minimum":228.2400,"maximum":828.7500,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":242.9700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":828.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":292.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":239.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":455.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":242.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":242.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":252.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":242.9700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":229.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":292.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":276.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":499.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":242.9700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":486.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":228.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"}]}]},{"description":"Mri Pelvis W\/dye","code_information":[
                 { "code": "72196", "type": "CPT" } ],"standard_charges":[{"minimum":268.5900,"maximum":663.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":342.8300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":663.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":285.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":281.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":542.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":285.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":295.9500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":285.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":356.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":370.2100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":268.5900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":285.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":285.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":317.5800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":534.6600,"methodology":"fee schedule"}]}]},{"description":"Mri Pelvis W\/o  W\/dye","code_information":[
                 { "code": "72197", "type": "CPT" } ],"standard_charges":[{"minimum":323.4900,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":420.0800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":358.1900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":828.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":358.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":335.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":620.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":351.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":371.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":358.1900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":459.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":425.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":358.1900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":655.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":338.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":323.4900,"methodology":"fee schedule"}]}]},{"description":"Mr Angio Pelvis W\/o  W\/dye","code_information":[
                 { "code": "72198", "type": "CPT" } ],"standard_charges":[{"minimum":268.5400,"maximum":650.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":358.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":302.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":401.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":368.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":358.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":401.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":516.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":401.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":268.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":616.2000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Si Joints","code_information":[
                 { "code": "72200", "type": "CPT" } ],"standard_charges":[{"minimum":8.4000,"maximum":58.9700,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":58.9700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":34.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.3400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":38.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":28.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.0000,"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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.3300,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Si Joints 3\/> Vws","code_information":[
                 { "code": "72202", "type": "CPT" } ],"standard_charges":[{"minimum":19.0000,"maximum":44.4100,"gross_charge":224.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.0100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":39.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":40.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.2400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":39.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":44.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.7900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.0100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.7900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":39.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.3700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":33.6400,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Sacrum Tailbone","code_information":[
                 { "code": "72220", "type": "CPT" } ],"standard_charges":[{"minimum":12.6000,"maximum":38.2500,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.8700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":32.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":33.7800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":38.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.6500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":28.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":34.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.8700,"methodology":"fee schedule"}]}]},{"description":"Discography Cerv\/thor Spine","code_information":[
                 { "code": "72285", "type": "CPT" } ],"standard_charges":[{"minimum":66.0000,"maximum":287.0000,"gross_charge":556.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":66.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":130.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":114.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":92.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":120.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":102.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":130.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":120.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":130.8000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":103.4600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":103.4600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":120.1500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":92.5700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":114.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":287.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":123.1100,"methodology":"fee schedule"}]}]},{"description":"X-ray Of Lower Spine Disk","code_information":[
                 { "code": "72295", "type": "CPT" } ],"standard_charges":[{"minimum":52.1300,"maximum":257.0000,"gross_charge":556.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":66.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":112.8500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":79.1800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":52.1300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":112.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":99.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":104.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":116.9300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":89.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":104.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":116.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":52.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":104.9900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":89.3700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":99.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":257.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":100.6500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":79.1800,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Collar Bone","code_information":[
                 { "code": "73000", "type": "CPT" } ],"standard_charges":[{"minimum":8.4000,"maximum":38.1100,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.7600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":33.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":38.1100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.7600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":28.5700,"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":20.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Shoulder Blade","code_information":[
                 { "code": "73010", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":36.0000,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.7000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":32.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.3500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":31.1100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.8800,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Shoulder","code_information":[
                 { "code": "73020", "type": "CPT" } ],"standard_charges":[{"minimum":9.8000,"maximum":25.0000,"gross_charge":112.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.9600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":22.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.0300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.9600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado 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":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":22.2600,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Shoulder","code_information":[
                 { "code": "73030", "type": "CPT" } ],"standard_charges":[{"minimum":16.8000,"maximum":50.8200,"gross_charge":202.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":35.2400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.8600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":40.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":50.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":30.0200,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Shoulders","code_information":[
                 { "code": "73050", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":40.5000,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.1400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.9800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":31.1700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.5300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":36.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":33.1600,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Humerus","code_information":[
                 { "code": "73060", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":37.9700,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":32.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.8700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":31.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.8700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.8300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":29.6600,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Elbow","code_information":[
                 { "code": "73070", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":46.6000,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.4200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.4200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.8200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":27.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":46.6000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Elbow","code_information":[
                 { "code": "73080", "type": "CPT" } ],"standard_charges":[{"minimum":16.8000,"maximum":39.0000,"gross_charge":202.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":38.2500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":28.8600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":32.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":33.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.1000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.1100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.2100,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Forearm","code_information":[
                 { "code": "73090", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":34.1500,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.5700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":34.1500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.0700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":26.4000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Arm Infant","code_information":[
                 { "code": "73092", "type": "CPT" } ],"standard_charges":[{"minimum":20.8500,"maximum":39.0000,"gross_charge":92.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":32.1900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.2900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":33.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":36.8100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.8500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.3000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":27.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.2900,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Wrist","code_information":[
                 { "code": "73100", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":40.5000,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.7700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":34.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.1700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":34.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":40.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":34.5600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":32.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Wrist","code_information":[
                 { "code": "73110", "type": "CPT" } ],"standard_charges":[{"minimum":16.8000,"maximum":50.2100,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":41.6800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":41.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":41.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":42.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":37.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":50.2100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":41.6800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":35.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":31.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.0900,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Hand","code_information":[
                 { "code": "73120", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":36.6700,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":31.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":31.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":32.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":31.8500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":36.6700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.8500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.8300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":28.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Hand","code_information":[
                 { "code": "73130", "type": "CPT" } ],"standard_charges":[{"minimum":17.5000,"maximum":44.3200,"gross_charge":92.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":37.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":37.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":44.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.1100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":32.5600,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Finger(s)","code_information":[
                 { "code": "73140", "type": "CPT" } ],"standard_charges":[{"minimum":9.8000,"maximum":46.4800,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":38.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":38.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":39.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":38.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":34.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":46.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.8900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.9800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":38.6300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":32.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.1100,"methodology":"fee schedule"}]}]},{"description":"Ct Upper Extremity W\/o Dye","code_information":[
                 { "code": "73200", "type": "CPT" } ],"standard_charges":[{"minimum":152.8500,"maximum":405.0800,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":152.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":153.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":154.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":163.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":154.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":154.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":160.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":161.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":405.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":167.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":154.5200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":167.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":165.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":275.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":153.5000,"methodology":"fee schedule"}]}]},{"description":"Ct Upper Extremity W\/dye","code_information":[
                 { "code": "73201", "type": "CPT" } ],"standard_charges":[{"minimum":188.0100,"maximum":350.6300,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":350.6300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":188.0100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":212.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":227.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":219.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":227.5700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":212.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":224.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":227.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":277.2400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":204.4700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":188.0100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":204.4700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":341.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":219.6200,"methodology":"fee schedule"}]}]},{"description":"Ct Uppr Extremity W\/ow\/dye","code_information":[
                 { "code": "73202", "type": "CPT" } ],"standard_charges":[{"minimum":185.0600,"maximum":650.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":238.5700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":236.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":255.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":220.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":238.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":266.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":243.4300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":236.8800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":259.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":266.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":300.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":266.0300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":259.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":185.0600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":426.7300,"methodology":"fee schedule"}]}]},{"description":"Mri Upper Extremity W\/o Dye","code_information":[
                 { "code": "73218", "type": "CPT" } ],"standard_charges":[{"minimum":220.9600,"maximum":828.7500,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":828.7500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":287.4400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":298.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":298.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":303.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":298.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":320.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":455.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":296.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":229.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":287.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":298.8800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":287.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":220.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":564.2400,"methodology":"fee schedule"}]}]},{"description":"Mri Upper Extremity W\/dye","code_information":[
                 { "code": "73219", "type": "CPT" } ],"standard_charges":[{"minimum":263.7900,"maximum":828.7500,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":335.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":353.4400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":828.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":350.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":775.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":353.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":353.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":366.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":353.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":266.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":402.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":525.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":365.3200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":365.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":263.7900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":620.1000,"methodology":"fee schedule"}]}]},{"description":"Mri Uppr Extremity W\/ow\/dye","code_information":[
                 { "code": "73220", "type": "CPT" } ],"standard_charges":[{"minimum":323.7200,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":663.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":436.8100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":415.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":436.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":454.8700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":436.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":380.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":775.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":498.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":583.7900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":454.8300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":436.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":436.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":323.7200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":768.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":331.6300,"methodology":"fee schedule"}]}]},{"description":"Mri Joint Upr Extrem W\/o Dye","code_information":[
                 { "code": "73221", "type": "CPT" } ],"standard_charges":[{"minimum":145.8700,"maximum":663.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":214.1600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":204.4100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":663.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":205.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":214.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":214.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":220.7100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":288.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":223.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":214.1600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":214.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":169.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":365.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":145.8700,"methodology":"fee schedule"}]}]},{"description":"Mri Joint Upr Extrem W\/dye","code_information":[
                 { "code": "73222", "type": "CPT" } ],"standard_charges":[{"minimum":246.6800,"maximum":775.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":662.6500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":316.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":333.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":333.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":293.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":333.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":293.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":775.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":351.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":379.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":246.6800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":333.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":333.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":250.7100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":583.6600,"methodology":"fee schedule"}]}]},{"description":"Mri Joint Upr Extr W\/ow\/dye","code_information":[
                 { "code": "73223", "type": "CPT" } ],"standard_charges":[{"minimum":301.1200,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":393.2800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":412.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":722.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":366.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":775.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":412.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":470.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":429.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":470.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":471.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":559.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":451.1400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":412.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":316.2500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":723.6700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":301.1200,"methodology":"fee schedule"}]}]},{"description":"Mr Angio Upr Extr W\/ow\/dye","code_information":[
                 { "code": "73225", "type": "CPT" } ],"standard_charges":[{"minimum":267.7000,"maximum":650.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":363.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":396.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":376.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":396.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":363.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":303.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":396.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":524.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":627.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":267.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Hip Uni 1 View","code_information":[
                 { "code": "73500", "type": "CPT" } ],"standard_charges":[{"minimum":9.8000,"maximum":37.0600,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.2100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.6500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.6500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.2100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Hip Uni 1 View","code_information":[
                 { "code": "73501", "type": "CPT" } ],"standard_charges":[{"minimum":9.8000,"maximum":37.0600,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":33.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":32.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Hip Uni 2-3 Views","code_information":[
                 { "code": "73502", "type": "CPT" } ],"standard_charges":[{"minimum":19.6000,"maximum":55.2300,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":37.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":48.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":47.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":46.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":41.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":55.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.7800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":47.7800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":36.1700,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Hip Uni 2-3 Views","code_information":[
                 { "code": "73510", "type": "CPT" } ],"standard_charges":[{"minimum":19.6000,"maximum":55.2300,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.4000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.9500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.4000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Hips Bi 2 Views","code_information":[
                 { "code": "73521", "type": "CPT" } ],"standard_charges":[{"minimum":26.0000,"maximum":48.3100,"gross_charge":224.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":42.0200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":41.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":41.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":42.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":42.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":42.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":37.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":48.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":42.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":34.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Hips Bi 3-4 Views","code_information":[
                 { "code": "73522", "type": "CPT" } ],"standard_charges":[{"minimum":28.0000,"maximum":314.0000,"gross_charge":314.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":48.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":61.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":54.5600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":45.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":31.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":314.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":54.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":55.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":54.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":54.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":54.5600,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Femur 2\/>","code_information":[
                 { "code": "73550", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":42.0700,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.1300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.1300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.3400,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Femur 2\/>","code_information":[
                 { "code": "73551", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":42.0700,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Femur 2\/>","code_information":[
                 { "code": "73552", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":42.0700,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.6600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":36.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.6900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":32.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":42.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.2600,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Knee 1 Or 2","code_information":[
                 { "code": "73560", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":40.9800,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.1900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":34.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":34.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":40.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.9000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":34.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":31.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.1900,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Knee 3","code_information":[
                 { "code": "73562", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":49.1900,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":41.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":39.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.9100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":40.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":42.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":49.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":41.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.9100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":36.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.4100,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Knee 4 Or More","code_information":[
                 { "code": "73564", "type": "CPT" } ],"standard_charges":[{"minimum":12.6000,"maximum":54.2800,"gross_charge":92.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":47.4400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":45.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":47.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":41.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":32.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":42.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":54.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.4400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":32.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":36.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":40.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":32.7400,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Knees","code_information":[
                 { "code": "73565", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":49.0500,"gross_charge":92.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":42.1500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":49.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":31.9000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":36.5500,"methodology":"fee schedule"}]}]},{"description":"Contrast X-ray Of Knee Joint","code_information":[
                 { "code": "73580", "type": "CPT" } ],"standard_charges":[{"minimum":96.6200,"maximum":130.1300,"gross_charge":150.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":96.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":96.6200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":130.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":96.6200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":96.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":96.6200,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Lower Leg","code_information":[
                 { "code": "73590", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":37.4900,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":32.1900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.9400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":32.7300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.1900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.7300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.7300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":29.3000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Ankle","code_information":[
                 { "code": "73600", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":38.4500,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":32.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":31.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":38.4500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":33.2100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":30.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.3400,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Ankle","code_information":[
                 { "code": "73610", "type": "CPT" } ],"standard_charges":[{"minimum":16.8000,"maximum":43.5100,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.1000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":37.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":38.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":32.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":43.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":28.8600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":32.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.1000,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Foot","code_information":[
                 { "code": "73620", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":33.0500,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.8100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.8100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.0500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":26.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.2900,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Foot","code_information":[
                 { "code": "73630", "type": "CPT" } ],"standard_charges":[{"minimum":16.8000,"maximum":41.1200,"gross_charge":178.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":34.9000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.7100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":34.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.8700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.7100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":41.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.9000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime 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":28.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.0800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":30.0200,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Heel","code_information":[
                 { "code": "73650", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":38.0000,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.6700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.1400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":32.5800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.0800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":27.8500,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Toe(s)","code_information":[
                 { "code": "73660", "type": "CPT" } ],"standard_charges":[{"minimum":9.8000,"maximum":34.7400,"gross_charge":112.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":30.2100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.5800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.5800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":34.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.9000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.0700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":28.9500,"methodology":"fee schedule"}]}]},{"description":"Ct Lower Extremity W\/o Dye","code_information":[
                 { "code": "73700", "type": "CPT" } ],"standard_charges":[{"minimum":134.2200,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":280.5100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":153.9600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":135.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":134.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":135.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":139.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":135.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":176.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":249.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":153.9600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":167.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":135.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":135.8900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":154.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":276.2200,"methodology":"fee schedule"}]}]},{"description":"Ct Lower Extremity W\/dye","code_information":[
                 { "code": "73701", "type": "CPT" } ],"standard_charges":[{"minimum":175.5400,"maximum":346.8300,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":175.5400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":231.5500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":190.5500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":175.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":184.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":280.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":175.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":180.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":175.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":190.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":230.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":249.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":206.5500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":206.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":222.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":346.8300,"methodology":"fee schedule"}]}]},{"description":"Ct Lwr Extremity W\/ow\/dye","code_information":[
                 { "code": "73702", "type": "CPT" } ],"standard_charges":[{"minimum":183.4800,"maximum":650.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":255.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":205.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":236.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":265.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":212.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":197.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":205.7000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":259.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":265.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":269.6300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":259.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":265.6600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":421.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":183.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":236.4100,"methodology":"fee schedule"}]}]},{"description":"Ct Angio Lwr Extr W\/ow\/dye","code_information":[
                 { "code": "73706", "type": "CPT" } ],"standard_charges":[{"minimum":237.5500,"maximum":545.9800,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":285.8100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":270.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":265.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":270.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":270.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":278.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":341.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":300.2800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":545.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":237.5500,"methodology":"fee schedule"}]}]},{"description":"Mri Lower Extremity W\/o Dye","code_information":[
                 { "code": "73718", "type": "CPT" } ],"standard_charges":[{"minimum":220.9600,"maximum":939.2500,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":287.2900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":939.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":237.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":234.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":520.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":237.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":245.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":237.2100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":237.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":296.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":287.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":237.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":220.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":472.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":229.3800,"methodology":"fee schedule"}]}]},{"description":"Mri Lower Extremity W\/dye","code_information":[
                 { "code": "73719", "type": "CPT" } ],"standard_charges":[{"minimum":263.4500,"maximum":828.7500,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":278.5500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":341.1600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":828.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":401.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":307.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":620.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":278.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":278.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":289.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":271.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":316.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":499.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":278.5500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":365.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":263.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":526.0300,"methodology":"fee schedule"}]}]},{"description":"Mri Lwr Extremity W\/ow\/dye","code_information":[
                 { "code": "73720", "type": "CPT" } ],"standard_charges":[{"minimum":326.4900,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":663.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":418.4200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":358.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":406.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":371.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":390.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":620.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":358.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":406.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":454.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":406.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":358.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":333.0400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":654.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":326.4900,"methodology":"fee schedule"}]}]},{"description":"Mri Jnt Of Lwr Extre W\/o Dye","code_information":[
                 { "code": "73721", "type": "CPT" } ],"standard_charges":[{"minimum":145.8700,"maximum":773.5000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":213.8200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":773.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":204.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":213.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":201.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":390.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":213.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":220.3600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":288.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":236.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":213.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":213.8200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":145.8700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":365.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":169.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"}]}]},{"description":"Mri Joint Of Lwr Extr W\/dye","code_information":[
                 { "code": "73722", "type": "CPT" } ],"standard_charges":[{"minimum":250.6000,"maximum":722.5000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":722.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":333.4500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":320.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":333.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":347.9500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":333.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":371.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":542.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":333.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":381.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":358.4700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":250.6000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":333.4500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":587.4700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":252.4800,"methodology":"fee schedule"}]}]},{"description":"Mri Joint Lwr Extr W\/ow\/dye","code_information":[
                 { "code": "73723", "type": "CPT" } ],"standard_charges":[{"minimum":300.8900,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":393.0500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":411.0500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":663.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":411.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":451.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":620.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":411.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":428.3600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":300.8900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":451.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":469.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":558.0300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":411.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":411.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":317.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":722.5900,"methodology":"fee schedule"}]}]},{"description":"Mr Ang Lwr Ext W Or W\/o Dye","code_information":[
                 { "code": "73725", "type": "CPT" } ],"standard_charges":[{"minimum":303.7800,"maximum":650.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":355.4700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":616.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":386.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":355.4700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":367.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":355.4700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":342.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":303.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":355.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":402.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":442.1900,"methodology":"fee schedule"}]}]},{"description":"Radex Abdomen 1 View","code_information":[
                 { "code": "74000", "type": "CPT" } ],"standard_charges":[{"minimum":9.8000,"maximum":34.2200,"gross_charge":112.0000,"setting":"both","payers_information":[{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":16.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.7600,"methodology":"fee schedule"}]}]},{"description":"Radex Abdomen 2 Views","code_information":[
                 { "code": "74010", "type": "CPT" } ],"standard_charges":[{"minimum":12.6000,"maximum":45.5000,"gross_charge":110.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.6000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.7700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.2200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.7700,"methodology":"fee schedule"}]}]},{"description":"Radex Abdomen 1 View","code_information":[
                 { "code": "74018", "type": "CPT" } ],"standard_charges":[{"minimum":9.8000,"maximum":34.2200,"gross_charge":112.0000,"setting":"both","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":31.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":34.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":30.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":27.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"}]}]},{"description":"Radex Abdomen 2 Views","code_information":[
                 { "code": "74019", "type": "CPT" } ],"standard_charges":[{"minimum":12.6000,"maximum":45.5000,"gross_charge":110.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":37.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":41.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":38.2900,"methodology":"fee schedule"}]}]},{"description":"Radex Abdomen 3 Views","code_information":[
                 { "code": "74020", "type": "CPT" } ],"standard_charges":[{"minimum":19.6000,"maximum":75.0000,"gross_charge":92.0000,"setting":"both","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.3600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.3600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.8100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.8100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":47.4400,"methodology":"fee schedule"}]}]},{"description":"Radex Compl Aqt Abd Series","code_information":[
                 { "code": "74021", "type": "CPT" } ],"standard_charges":[{"minimum":34.0000,"maximum":60.0000,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":46.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":73.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":37.6900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":37.6900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":43.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":44.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":43.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":44.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":43.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":43.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":43.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":40.9200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.2200,"methodology":"fee schedule"}]}]},{"description":"Radex Compl Aqt Abd Series","code_information":[
                 { "code": "74022", "type": "CPT" } ],"standard_charges":[{"minimum":34.0000,"maximum":60.0000,"gross_charge":156.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":37.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":50.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.8300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":45.5500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.8300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":36.4500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":37.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":54.6900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":36.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"}]}]},{"description":"Ct Abdomen W\/o Contrast","code_information":[
                 { "code": "74150", "type": "CPT" } ],"standard_charges":[{"minimum":133.9000,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":143.6800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":133.9000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":280.5100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":143.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":141.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":240.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":143.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":143.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":147.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":133.9000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":169.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":152.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":246.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":169.4900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":229.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":160.8100,"methodology":"fee schedule"}]}]},{"description":"Ct Abdomen W\/contrast","code_information":[
                 { "code": "74160", "type": "CPT" } ],"standard_charges":[{"minimum":204.4300,"maximum":354.3900,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":306.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":241.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":228.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":252.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":204.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":241.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":246.2100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":241.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":227.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":229.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":300.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":227.3700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":241.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":229.9100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":354.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":204.4300,"methodology":"fee schedule"}]}]},{"description":"Ct Abd Wo Cntrst Flwd Cntrst","code_information":[
                 { "code": "74170", "type": "CPT" } ],"standard_charges":[{"minimum":234.7800,"maximum":650.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":247.3800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":382.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":234.7800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":247.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":275.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":266.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":247.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":252.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":234.7800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":287.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":261.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":300.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":247.3800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":287.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":260.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":403.2600,"methodology":"fee schedule"}]}]},{"description":"Cta Abdplvs W\/contrast","code_information":[
                 { "code": "74174", "type": "CPT" } ],"standard_charges":[{"minimum":287.0000,"maximum":477.1900,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":363.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":382.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":401.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":415.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":401.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":287.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":397.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":477.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":366.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":401.9000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":401.9000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"}]}]},{"description":"Cta Abdomen W\/contrast","code_information":[
                 { "code": "74175", "type": "CPT" } ],"standard_charges":[{"minimum":222.7200,"maximum":471.5400,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":291.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":267.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":267.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":272.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":267.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":295.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":300.2800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":471.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":222.7200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":270.9200,"methodology":"fee schedule"}]}]},{"description":"Ct Abd  Pelvis W\/o Contrast","code_information":[
                 { "code": "74176", "type": "CPT" } ],"standard_charges":[{"minimum":175.0100,"maximum":450.0000,"gross_charge":1170.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":192.4800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":358.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":175.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":192.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":184.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":285.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":186.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":196.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":192.4800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":181.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":196.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":424.6200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":192.4800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":307.9200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":175.0100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":206.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":382.5000,"methodology":"fee schedule"}]}]},{"description":"Ct Abd  Pelvis W\/contrast","code_information":[
                 { "code": "74177", "type": "CPT" } ],"standard_charges":[{"minimum":255.4600,"maximum":478.6200,"gross_charge":1170.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":255.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":322.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":322.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":335.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":298.6700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":381.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":322.6100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":255.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":314.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":442.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":322.6100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":322.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":292.9700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":478.6200,"methodology":"fee schedule"}]}]},{"description":"Ct Abdplv Wo Cntr Flwd Cntr","code_information":[
                 { "code": "74178", "type": "CPT" } ],"standard_charges":[{"minimum":297.8500,"maximum":542.1300,"gross_charge":1170.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":361.2400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":297.8500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":467.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":361.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":344.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":378.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":361.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":375.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":361.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":346.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":472.5300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":542.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":297.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":350.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"}]}]},{"description":"Mri Abdomen W\/o Contrast","code_information":[
                 { "code": "74181", "type": "CPT" } ],"standard_charges":[{"minimum":128.5000,"maximum":663.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":273.9600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":663.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":207.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":207.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":128.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":204.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":207.7300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":211.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":278.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":292.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":207.7300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":207.7300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":222.0500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":434.2200,"methodology":"fee schedule"}]}]},{"description":"Mri Abdomen W\/contrast","code_information":[
                 { "code": "74182", "type": "CPT" } ],"standard_charges":[{"minimum":301.3500,"maximum":828.7500,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":321.9200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":828.7500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":375.3600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":321.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":318.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":620.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":321.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":333.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":370.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":383.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":301.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":321.9200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":321.9200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":589.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":344.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"}]}]},{"description":"Mri Abd W\/o Cntr Flwd Cntr","code_information":[
                 { "code": "74183", "type": "CPT" } ],"standard_charges":[{"minimum":324.8800,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":764.6500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":421.4700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":359.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":353.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":372.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":337.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":620.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":359.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":324.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":426.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":512.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":459.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":359.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":359.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":339.2200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":656.7600,"methodology":"fee schedule"}]}]},{"description":"Mra Abd W Or W\/o Cntrst","code_information":[
                 { "code": "74185", "type": "CPT" } ],"standard_charges":[{"minimum":263.0600,"maximum":650.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":303.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":357.5100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":339.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":357.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":403.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":369.5100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":403.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":404.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":515.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":263.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":269.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":575.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":620.0100,"methodology":"fee schedule"}]}]},{"description":"X-ray Xm Phrnx\/crv Esoph C","code_information":[
                 { "code": "74210", "type": "CPT" } ],"standard_charges":[{"minimum":41.5000,"maximum":109.4000,"gross_charge":76.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":58.0900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":81.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":98.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":59.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":59.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":103.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":98.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":76.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":41.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":58.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":59.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":81.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":109.4000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":68.6200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":79.6200,"methodology":"fee schedule"}]}]},{"description":"X-ray Xm Esophagus 1cntrst","code_information":[
                 { "code": "74220", "type": "CPT" } ],"standard_charges":[{"minimum":28.7000,"maximum":111.4800,"gross_charge":336.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":68.1300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":101.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":77.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":28.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":85.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":101.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":69.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":104.7900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":67.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":69.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":111.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":77.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":68.1300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":67.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":69.4200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":90.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":79.9900,"methodology":"fee schedule"}]}]},{"description":"X-ray Xm Upr Gi Trc 1cntrst","code_information":[
                 { "code": "74240", "type": "CPT" } ],"standard_charges":[{"minimum":42.0000,"maximum":137.3300,"gross_charge":336.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":86.1800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":66.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":126.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":88.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":131.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":88.1700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":126.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":120.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":85.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":88.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":137.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":85.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":71.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":105.7900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":115.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":86.1800,"methodology":"fee schedule"}]}]},{"description":"X-ray Xm Upr Gi Trc 2cntrst","code_information":[
                 { "code": "74246", "type": "CPT" } ],"standard_charges":[{"minimum":49.0000,"maximum":157.1200,"gross_charge":558.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":69.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":143.6800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":96.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":135.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":74.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":129.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":143.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":98.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":149.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":98.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":157.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":129.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":87.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":98.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":87.8400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":129.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":96.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":82.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":115.1800,"methodology":"fee schedule"}]}]},{"description":"X-ray Xm Sm Int 1cntrst Std","code_information":[
                 { "code": "74250", "type": "CPT" } ],"standard_charges":[{"minimum":38.5000,"maximum":136.5200,"gross_charge":314.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":76.0800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":38.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":99.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":126.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":81.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":130.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":112.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":126.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":81.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":99.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":136.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":81.4300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":90.9100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":105.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":76.0800,"methodology":"fee schedule"}]}]},{"description":"X-ray Xm Colon 1cntrst Std","code_information":[
                 { "code": "74270", "type": "CPT" } ],"standard_charges":[{"minimum":38.5000,"maximum":170.5300,"gross_charge":336.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":38.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":158.2600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":112.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":118.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":164.6600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":158.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":160.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":112.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":118.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":170.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":87.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":118.6600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":87.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":132.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":153.4500,"methodology":"fee schedule"}]}]},{"description":"X-ray Xm Colon 2cntrst Std","code_information":[
                 { "code": "74280", "type": "CPT" } ],"standard_charges":[{"minimum":70.0000,"maximum":256.8000,"gross_charge":260.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":125.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":228.0600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":179.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":226.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":228.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":149.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":149.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":237.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":149.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":256.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":179.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":138.9800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":138.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":188.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":217.8700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":125.5400,"methodology":"fee schedule"}]}]},{"description":"Ther Nma Rdctj Intus\/obstrcj","code_information":[
                 { "code": "74283", "type": "CPT" } ],"standard_charges":[{"minimum":142.0000,"maximum":750.0000,"gross_charge":360.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":750.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":159.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":322.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":260.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":224.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":500.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":165.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":165.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":271.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":260.9400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":159.8900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":144.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":165.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":750.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":449.7300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":144.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":142.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":150.3200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":214.6000,"methodology":"fee schedule"}]}]},{"description":"X-ray Bile Duct Dilation","code_information":[
                 { "code": "74363", "type": "CPT" } ],"standard_charges":[{"minimum":23.2500,"maximum":298.7200,"gross_charge":76.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":96.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":52.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":298.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":148.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":82.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":148.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":151.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":148.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":82.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":209.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":148.2400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":209.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":91.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":96.2000,"methodology":"fee schedule"}]}]},{"description":"Urography Iv -kub Tomog","code_information":[
                 { "code": "74400", "type": "CPT" } ],"standard_charges":[{"minimum":68.0000,"maximum":169.1900,"gross_charge":336.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":117.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":83.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":138.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":97.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":138.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":97.7700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":147.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":120.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":82.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":109.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":117.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":169.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":82.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":83.4500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":112.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":96.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":73.0000,"methodology":"fee schedule"}]}]},{"description":"Urography Rtrgr -kub","code_information":[
                 { "code": "74420", "type": "CPT" } ],"standard_charges":[{"minimum":23.2500,"maximum":154.5000,"gross_charge":314.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":53.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":78.2800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":154.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":33.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":63.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":78.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":129.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":79.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":129.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":83.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":154.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":129.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":37.8600,"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":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"}]}]},{"description":"Urography Antegrade Rsi","code_information":[
                 { "code": "74425", "type": "CPT" } ],"standard_charges":[{"minimum":23.2500,"maximum":169.9200,"gross_charge":402.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":129.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":144.9500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":139.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":42.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":169.9200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":129.6500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":139.6200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":37.8300,"methodology":"fee schedule"}]}]},{"description":"Contrast X-ray Bladder","code_information":[
                 { "code": "74430", "type": "CPT" } ],"standard_charges":[{"minimum":17.8500,"maximum":51.0000,"gross_charge":336.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.8500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":42.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.3600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":42.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":40.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":42.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":40.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":42.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.8500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":40.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":38.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":39.0300,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Penis","code_information":[
                 { "code": "74445", "type": "CPT" } ],"standard_charges":[{"minimum":22.7500,"maximum":169.1400,"gross_charge":152.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":159.9400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":83.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":164.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":166.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":164.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":83.0300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":85.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":164.9700,"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 Health Maintenance Organization","standard_charge_dollar":169.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":164.9700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":85.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":120.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":89.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":22.7500,"methodology":"fee schedule"}]}]},{"description":"X-ray Urethra\/bladder","code_information":[
                 { "code": "74450", "type": "CPT" } ],"standard_charges":[{"minimum":39.7800,"maximum":328.2100,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":328.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":328.2100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":187.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":39.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":39.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":249.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":249.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":252.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":248.7100,"methodology":"fee schedule"}]}]},{"description":"X-ray Urethra\/bladder","code_information":[
                 { "code": "74455", "type": "CPT" } ],"standard_charges":[{"minimum":18.7200,"maximum":132.7200,"gross_charge":314.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":62.1500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":106.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":90.3700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":106.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":62.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":110.8200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":64.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":60.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":132.7200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":62.1500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":64.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":62.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":70.9100,"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":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":84.3400,"methodology":"fee schedule"}]}]},{"description":"Dilation Urtr\/urt Rsi","code_information":[
                 { "code": "74485", "type": "CPT" } ],"standard_charges":[{"minimum":72.9200,"maximum":137.1000,"gross_charge":242.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":92.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":72.9200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":126.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":73.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":114.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":121.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":73.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":126.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":137.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":73.2800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":94.7900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":72.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":85.0500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":121.3200,"methodology":"fee schedule"}]}]},{"description":"X-ray Female Genital Tract","code_information":[
                 { "code": "74740", "type": "CPT" } ],"standard_charges":[{"minimum":18.7200,"maximum":97.6000,"gross_charge":380.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":97.6000,"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":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":76.3500,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Perineum","code_information":[
                 { "code": "74775", "type": "CPT" } ],"standard_charges":[{"minimum":23.2500,"maximum":267.3400,"gross_charge":76.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":155.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":263.5700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":109.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":66.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":141.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":141.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":141.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":267.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":66.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":141.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":109.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":67.7200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":67.7200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":74.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":67.3800,"methodology":"fee schedule"}]}]},{"description":"Cardiac Mri For Morph","code_information":[
                 { "code": "75557", "type": "CPT" } ],"standard_charges":[{"minimum":183.3300,"maximum":1104.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":294.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":307.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":855.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":183.3300,"methodology":"fee schedule"}]}]},{"description":"Cardiac Mri For Morph W\/dye","code_information":[
                 { "code": "75561", "type": "CPT" } ],"standard_charges":[{"minimum":378.7300,"maximum":1104.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":584.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":855.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":403.4800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":385.6400,"methodology":"fee schedule"}]}]},{"description":"Card Mri Veloc Flow Mapping","code_information":[
                 { "code": "75565", "type": "CPT" } ],"standard_charges":[{"minimum":38.1400,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":38.1400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":48.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":74.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":50.8500,"methodology":"fee schedule"}]}]},{"description":"X-ray Aorta Leg Arteries","code_information":[
                 { "code": "75630", "type": "CPT" } ],"standard_charges":[{"minimum":79.4700,"maximum":144.4200,"gross_charge":510.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":144.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":144.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":79.4700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":144.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":144.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":144.4200,"methodology":"fee schedule"}]}]},{"description":"Ct Angio Abdominal Arteries","code_information":[
                 { "code": "75635", "type": "CPT" } ],"standard_charges":[{"minimum":180.2800,"maximum":427.6500,"gross_charge":334.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":427.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":197.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":293.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":232.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":324.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":180.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":293.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":263.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":246.6900,"methodology":"fee schedule"}]}]},{"description":"Abscess Drainage Under X-ray","code_information":[
                 { "code": "75689", "type": "CPT" } ],"standard_charges":[{"minimum":154.8600,"maximum":500.0000,"gross_charge":779.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":372.6300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":426.7100,"methodology":"fee schedule"}]}]},{"description":"Artery X-rays Pelvis","code_information":[
                 { "code": "75736", "type": "CPT" } ],"standard_charges":[{"minimum":131.5600,"maximum":131.5600,"gross_charge":455.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":131.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":131.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":131.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":131.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":131.5600,"methodology":"fee schedule"}]}]},{"description":"Artery X-ray Each Vessel","code_information":[
                 { "code": "75774", "type": "CPT" } ],"standard_charges":[{"minimum":73.0200,"maximum":73.0200,"gross_charge":283.0000,"setting":"both","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":73.0200,"methodology":"fee schedule"}]}]},{"description":"Vein X-ray Spleen\/liver","code_information":[
                 { "code": "75810", "type": "CPT" } ],"standard_charges":[{"minimum":23.2500,"maximum":4102.4200,"gross_charge":172.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":378.9700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":240.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":33.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3027.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":1349.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":275.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":1349.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":320.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":1349.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4102.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":240.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":381.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":1349.9300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":381.4300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":117.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":320.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":378.9700,"methodology":"fee schedule"}]}]},{"description":"Vein X-ray Arm\/leg","code_information":[
                 { "code": "75820", "type": "CPT" } ],"standard_charges":[{"minimum":18.7200,"maximum":118.2700,"gross_charge":422.0000,"setting":"both","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":110.8200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":118.2700,"methodology":"fee schedule"}]}]},{"description":"Abscess Drainage Under X-ray","code_information":[
                 { "code": "75989", "type": "CPT" } ],"standard_charges":[{"minimum":154.8600,"maximum":500.0000,"gross_charge":779.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":500.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":123.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":308.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":308.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":123.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":159.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":104.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":144.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":160.9700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":154.8600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":114.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":114.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":114.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":123.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":114.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":244.2000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":124.2600,"methodology":"fee schedule"}]}]},{"description":"Fluoroscopy <1 Hr Phys\/qhp","code_information":[
                 { "code": "76000", "type": "CPT" } ],"standard_charges":[{"minimum":14.0000,"maximum":73.5000,"gross_charge":134.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":31.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":37.5500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":73.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":44.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":44.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":39.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":37.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":57.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":37.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":48.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":73.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":46.1100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":46.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":40.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":48.8700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":37.5500,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Fistula","code_information":[
                 { "code": "76080", "type": "CPT" } ],"standard_charges":[{"minimum":35.9200,"maximum":61.0000,"gross_charge":268.0000,"setting":"both","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":61.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":35.9200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":35.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":39.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":37.3200,"methodology":"fee schedule"}]}]},{"description":"Mri Breast C- W\/cad Bi","code_information":[
                 { "code": "76094", "type": "CPT" } ],"standard_charges":[{"minimum":363.6700,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":633.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":975.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":1300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":738.7500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":690.2500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":690.2500,"methodology":"fee schedule"}]}]},{"description":"3d Render W\/intrp Postproces","code_information":[
                 { "code": "76376", "type": "CPT" } ],"standard_charges":[{"minimum":19.1000,"maximum":325.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":42.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":51.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":51.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":96.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":117.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":117.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.1000,"methodology":"fee schedule"}]}]},{"description":"Echo Exam Of Head","code_information":[
                 { "code": "76506", "type": "CPT" } ],"standard_charges":[{"minimum":60.0000,"maximum":135.0000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":114.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":115.5600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":70.9900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":70.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":112.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":115.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":90.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":130.3700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":69.8700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":69.8700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":70.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":73.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":120.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":70.9900,"methodology":"fee schedule"}]}]},{"description":"Oph Us Dx B-scanquan A-scan","code_information":[
                 { "code": "76510", "type": "CPT" } ],"standard_charges":[{"minimum":69.8100,"maximum":365.9400,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":129.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":136.6900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":96.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":136.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":69.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":136.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":98.5800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":136.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":136.6900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":130.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":140.7800,"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 Health Maintenance Organization","standard_charge_dollar":250.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":130.0400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":140.7800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":278.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":365.9400,"methodology":"fee schedule"}]}]},{"description":"Us Exam Of Head And Neck","code_information":[
                 { "code": "76536", "type": "CPT" } ],"standard_charges":[{"minimum":60.0000,"maximum":133.0100,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":113.5200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":90.2100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":113.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":109.1000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":113.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":106.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":117.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":133.0100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":89.0900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":90.2100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":113.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":113.5200,"methodology":"fee schedule"},{"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":108.5100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":120.1500,"methodology":"fee schedule"}]}]},{"description":"Us Exam Chest","code_information":[
                 { "code": "76604", "type": "CPT" } ],"standard_charges":[{"minimum":57.6100,"maximum":135.0000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":63.6900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":66.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":66.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":57.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":66.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":65.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":66.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":66.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":91.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":74.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":66.1400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":66.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":65.0100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":91.8800,"methodology":"fee schedule"}]}]},{"description":"Ultrasound Breast Complete","code_information":[
                 { "code": "76641", "type": "CPT" } ],"standard_charges":[{"minimum":60.0000,"maximum":187.5000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":67.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":105.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":168.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":104.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":98.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":105.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":125.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":110.7500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":105.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":105.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":94.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":105.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":64.9600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":65.8800,"methodology":"fee schedule"}]}]},{"description":"Ultrasound Breast Complete","code_information":[
                 { "code": "76645", "type": "CPT" } ],"standard_charges":[{"minimum":60.0000,"maximum":187.5000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":67.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":187.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"}]}]},{"description":"Us Exam Abdom Complete","code_information":[
                 { "code": "76700", "type": "CPT" } ],"standard_charges":[{"minimum":75.0000,"maximum":168.0000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":168.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":102.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":118.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":109.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":118.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":116.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":112.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":118.9400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":102.0300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":100.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":120.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":129.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":118.9400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":126.2300,"methodology":"fee schedule"},{"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":118.7000,"methodology":"fee schedule"}]}]},{"description":"Echo Exam Of Abdomen","code_information":[
                 { "code": "76705", "type": "CPT" } ],"standard_charges":[{"minimum":57.9700,"maximum":200.0000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":89.8100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":80.6200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":89.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":89.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":89.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":57.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":89.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":92.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":97.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":80.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":80.6200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":80.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":68.6300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":94.4000,"methodology":"fee schedule"}]}]},{"description":"Us Exam Abdo Back Wall Comp","code_information":[
                 { "code": "76770", "type": "CPT" } ],"standard_charges":[{"minimum":75.0000,"maximum":121.1000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":98.9500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":110.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":105.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":110.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":108.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":104.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":97.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":111.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":121.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":46.5100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":110.8100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":110.8100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":116.8200,"methodology":"fee schedule"},{"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":105.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":98.9500,"methodology":"fee schedule"}]}]},{"description":"Us Exam Abdo Back Wall Lim","code_information":[
                 { "code": "76775", "type": "CPT" } ],"standard_charges":[{"minimum":46.5100,"maximum":200.0000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":80.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":74.9500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":105.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":81.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":59.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":187.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":73.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":73.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":105.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":80.9700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":81.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":81.9300,"methodology":"fee schedule"}]}]},{"description":"Ob Us < 14 Wks Single Fetus","code_information":[
                 { "code": "76801", "type": "CPT" } ],"standard_charges":[{"minimum":50.0000,"maximum":140.0000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":97.6800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":119.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":118.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":119.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":112.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":110.1200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":99.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":97.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":121.5100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":99.5700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":112.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":108.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":127.2400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":97.6800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"}]}]},{"description":"Ob Us >\/= 14 Wks Sngl Fetus","code_information":[
                 { "code": "76805", "type": "CPT" } ],"standard_charges":[{"minimum":70.0000,"maximum":146.8600,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":110.3700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":138.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":136.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":129.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":128.7700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":138.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":111.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":146.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":110.3700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":108.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":129.2300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":138.2600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":146.8100,"methodology":"fee schedule"},{"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":144.4700,"methodology":"fee schedule"}]}]},{"description":"Ob Us < 14 Wks Single Fetus","code_information":[
                 { "code": "76810", "type": "CPT" } ],"standard_charges":[{"minimum":50.0000,"maximum":140.0000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"}]}]},{"description":"Ob Us Detailed Sngl Fetus","code_information":[
                 { "code": "76811", "type": "CPT" } ],"standard_charges":[{"minimum":58.5000,"maximum":188.5100,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":148.4200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":178.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":178.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":148.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":148.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":132.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":148.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":148.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":188.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":178.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":151.0300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":151.0300,"methodology":"fee schedule"},{"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":58.5000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":188.5100,"methodology":"fee schedule"}]}]},{"description":"Ob Us Limited Fetus(s)","code_information":[
                 { "code": "76815", "type": "CPT" } ],"standard_charges":[{"minimum":58.5000,"maximum":150.0000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":83.0300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":69.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":69.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":69.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":76.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":69.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":83.0300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":70.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":87.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":88.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":69.1200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":70.0700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":87.1300,"methodology":"fee schedule"},{"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":58.5000,"methodology":"fee schedule"}]}]},{"description":"Transvaginal Us Obstetric","code_information":[
                 { "code": "76817", "type": "CPT" } ],"standard_charges":[{"minimum":75.0000,"maximum":100.1400,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":76.3700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":94.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":88.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":87.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":92.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":92.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":94.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":76.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":97.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":75.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":75.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":88.8200,"methodology":"fee schedule"},{"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":89.6300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":76.3700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":100.1400,"methodology":"fee schedule"}]}]},{"description":"Fetal Biophys Profile W\/nst","code_information":[
                 { "code": "76818", "type": "CPT" } ],"standard_charges":[{"minimum":101.6300,"maximum":128.2000,"gross_charge":279.2400,"setting":"both","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":118.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":118.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":118.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":118.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":101.7300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":128.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":128.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":101.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":89.0900,"methodology":"fee schedule"}]}]},{"description":"Transvaginal Us Non-ob","code_information":[
                 { "code": "76830", "type": "CPT" } ],"standard_charges":[{"minimum":58.6500,"maximum":139.0600,"gross_charge":130.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":122.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":58.6500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":113.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":122.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":117.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":122.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":116.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":94.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":122.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":139.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":122.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":122.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":85.3700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":125.9000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":58.6500,"methodology":"fee schedule"}]}]},{"description":"Us Exam Pelvic Complete","code_information":[
                 { "code": "76856", "type": "CPT" } ],"standard_charges":[{"minimum":75.0000,"maximum":118.9700,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":92.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":93.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":107.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":107.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":101.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":102.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":102.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":107.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":110.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":118.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":93.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":107.7600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":107.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":93.0200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":113.5800,"methodology":"fee schedule"},{"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":101.5500,"methodology":"fee schedule"}]}]},{"description":"Us Exam Pelvic Limited","code_information":[
                 { "code": "76857", "type": "CPT" } ],"standard_charges":[{"minimum":34.9700,"maximum":135.0000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":49.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":34.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":60.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":49.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":74.9500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":59.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":49.9300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":59.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":43.0900,"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":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":49.8400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":49.4700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":60.0900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":51.4700,"methodology":"fee schedule"}]}]},{"description":"Us Exam Scrotum","code_information":[
                 { "code": "76870", "type": "CPT" } ],"standard_charges":[{"minimum":60.0000,"maximum":114.5100,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":92.3200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":82.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":103.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":103.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":97.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":98.7100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":103.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":66.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":82.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":114.5100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":92.3600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":92.3200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":103.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":103.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":69.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":69.7300,"methodology":"fee schedule"}]}]},{"description":"Us Transrectal","code_information":[
                 { "code": "76872", "type": "CPT" } ],"standard_charges":[{"minimum":56.6500,"maximum":164.7000,"gross_charge":130.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":138.9300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":56.6500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":138.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":136.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":92.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":138.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":136.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":56.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":96.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":164.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":95.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":138.9300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":95.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":73.4800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":99.4500,"methodology":"fee schedule"}]}]},{"description":"Us Compl Joint R-t W\/img","code_information":[
                 { "code": "76880", "type": "CPT" } ],"standard_charges":[{"minimum":39.8600,"maximum":104.5400,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"}]}]},{"description":"Us Compl Joint R-t W\/img","code_information":[
                 { "code": "76881", "type": "CPT" } ],"standard_charges":[{"minimum":39.8600,"maximum":104.5400,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":54.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":73.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":39.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":99.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":54.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":90.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":80.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":54.5600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":81.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":84.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":90.6000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":104.5400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":90.6000,"methodology":"fee schedule"}]}]},{"description":"Us Lmtd Jt\/fcl Evl Nvasc Xtr","code_information":[
                 { "code": "76882", "type": "CPT" } ],"standard_charges":[{"minimum":42.7000,"maximum":95.0000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":42.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":57.0000,"methodology":"fee schedule"}]}]},{"description":"Echo Guide For Biopsy","code_information":[
                 { "code": "76942", "type": "CPT" } ],"standard_charges":[{"minimum":58.2400,"maximum":187.5000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":148.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":58.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":58.2400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":148.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":58.2400,"methodology":"fee schedule"}]}]},{"description":"Us Guide Intraop","code_information":[
                 { "code": "76998", "type": "CPT" } ],"standard_charges":[{"minimum":110.6800,"maximum":187.5000,"gross_charge":94.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":110.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":110.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":114.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":110.6800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":110.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":186.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":110.6800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":187.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":130.5900,"methodology":"fee schedule"}]}]},{"description":"Ct Scan For Localization","code_information":[
                 { "code": "77011", "type": "CPT" } ],"standard_charges":[{"minimum":166.1600,"maximum":300.0000,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":166.1600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":234.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":235.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":234.4500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":227.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":234.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":264.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":166.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":227.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":296.1600,"methodology":"fee schedule"}]}]},{"description":"Ct Guide For Tissue Ablation","code_information":[
                 { "code": "77013", "type": "CPT" } ],"standard_charges":[{"minimum":275.0000,"maximum":605.4900,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":394.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":427.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":605.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":408.8900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":369.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":411.2600,"methodology":"fee schedule"}]}]},{"description":"Mri Breast C- W\/cad Uni","code_information":[
                 { "code": "77048", "type": "CPT" } ],"standard_charges":[{"minimum":224.6700,"maximum":684.0000,"gross_charge":1050.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":357.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":369.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":224.6700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":684.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":404.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":404.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":224.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":393.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":684.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":438.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":445.4100,"methodology":"fee schedule"}]}]},{"description":"Mri Breast C- W\/cad Bi","code_information":[
                 { "code": "77049", "type": "CPT" } ],"standard_charges":[{"minimum":363.6700,"maximum":1300.0000,"gross_charge":1104.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":364.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":659.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":659.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":377.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":363.6700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":412.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":690.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":371.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":436.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":684.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":690.2500,"methodology":"fee schedule"}]}]},{"description":"Mri Breast C- W\/cad Uni","code_information":[
                 { "code": "77058", "type": "CPT" } ],"standard_charges":[{"minimum":224.6700,"maximum":684.0000,"gross_charge":1050.0000,"setting":"both","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":327.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":625.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":442.0800,"methodology":"fee schedule"}]}]},{"description":"Breast Tomosynthesis Bi","code_information":[
                 { "code": "77063", "type": "CPT" } ],"standard_charges":[{"minimum":54.0400,"maximum":54.0400,"gross_charge":100.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":54.0400,"methodology":"fee schedule"}]}]},{"description":"Dx Mammo Incl Cad Uni","code_information":[
                 { "code": "77065", "type": "CPT" } ],"standard_charges":[{"minimum":50.0000,"maximum":153.6700,"gross_charge":220.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":127.4100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":97.3600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":117.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":74.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":138.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":127.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":130.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":134.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":127.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":127.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":127.4100,"methodology":"fee schedule"},{"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":153.6700,"methodology":"fee schedule"}]}]},{"description":"Dx Mammo Incl Cad Bi","code_information":[
                 { "code": "77066", "type": "CPT" } ],"standard_charges":[{"minimum":80.0000,"maximum":175.1600,"gross_charge":244.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":82.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":123.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":160.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":148.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":160.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":165.3700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":175.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":170.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":82.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":160.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":160.6200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":160.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":112.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":165.3400,"methodology":"fee schedule"}]}]},{"description":"Scr Mammo Bi Incl Cad","code_information":[
                 { "code": "77067", "type": "CPT" } ],"standard_charges":[{"minimum":65.0000,"maximum":141.1600,"gross_charge":220.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":101.0500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":130.4700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":141.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":122.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":118.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":130.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":133.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":141.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":130.4700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":130.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":130.4700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":118.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"}]}]},{"description":"Bone Age Studies","code_information":[
                 { "code": "77072", "type": "CPT" } ],"standard_charges":[{"minimum":17.9300,"maximum":29.9500,"gross_charge":162.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":26.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":26.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":29.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":29.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.9300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":23.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":27.1400,"methodology":"fee schedule"}]}]},{"description":"Bone Length Studies","code_information":[
                 { "code": "77073", "type": "CPT" } ],"standard_charges":[{"minimum":29.0000,"maximum":45.7500,"gross_charge":558.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":45.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"}]}]},{"description":"Radex Osseous Survey Lmtd","code_information":[
                 { "code": "77074", "type": "CPT" } ],"standard_charges":[{"minimum":52.5000,"maximum":135.0000,"gross_charge":200.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":67.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":52.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":66.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":66.0800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":52.7900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":66.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":66.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":67.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":66.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":69.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":77.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":69.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":52.7900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":65.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":66.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":62.4900,"methodology":"fee schedule"}]}]},{"description":"Joint Survey Single View","code_information":[
                 { "code": "77077", "type": "CPT" } ],"standard_charges":[{"minimum":30.9300,"maximum":97.2600,"gross_charge":97.2600,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":97.2600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":97.2600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":97.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":58.1300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":47.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":48.7300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":47.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":37.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":97.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":97.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":52.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":97.2600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":97.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":97.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":37.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":97.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":38.1900,"methodology":"fee schedule"}]}]},{"description":"Dxa Bone Density Axial","code_information":[
                 { "code": "77080", "type": "CPT" } ],"standard_charges":[{"minimum":32.5300,"maximum":95.0000,"gross_charge":250.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":49.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":67.9200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":38.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":55.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":32.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":66.7100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":55.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":66.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":80.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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":37.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":43.0600,"methodology":"fee schedule"}]}]},{"description":"Dxa Bone Density Appendiculr","code_information":[
                 { "code": "77081", "type": "CPT" } ],"standard_charges":[{"minimum":21.5000,"maximum":95.0000,"gross_charge":250.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":35.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":70.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":31.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":34.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":53.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.0500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":28.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.0800,"methodology":"fee schedule"}]}]},{"description":"Dxa Bone Density Axial","code_information":[
                 { "code": "77085", "type": "CPT" } ],"standard_charges":[{"minimum":32.5300,"maximum":95.0000,"gross_charge":250.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":56.7200,"methodology":"fee schedule"}]}]},{"description":"Thyroid Uptake Measurement","code_information":[
                 { "code": "78012", "type": "CPT" } ],"standard_charges":[{"minimum":39.2000,"maximum":170.0000,"gross_charge":110.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":115.7000,"methodology":"fee schedule"}]}]},{"description":"Thyroid Imaging W\/blood Flow","code_information":[
                 { "code": "78013", "type": "CPT" } ],"standard_charges":[{"minimum":38.7000,"maximum":190.0000,"gross_charge":55.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":129.8900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":136.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":204.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":180.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":180.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":117.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":180.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":180.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":187.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":182.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":203.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":136.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":282.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":185.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":180.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":182.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":109.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":204.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":129.8900,"methodology":"fee schedule"}]}]},{"description":"Thyroid Imaging W\/blood Flow","code_information":[
                 { "code": "78014", "type": "CPT" } ],"standard_charges":[{"minimum":197.2100,"maximum":450.0000,"gross_charge":450.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":210.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":225.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":308.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":236.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":252.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":235.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":225.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":252.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":423.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":236.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":252.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":384.6900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":197.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":210.0000,"methodology":"fee schedule"}]}]},{"description":"Thyroid Met Imaging","code_information":[
                 { "code": "78015", "type": "CPT" } ],"standard_charges":[{"minimum":120.0000,"maximum":241.5700,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":137.4400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":129.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":219.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":234.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":193.9200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":128.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":234.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":186.7200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":128.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":234.5900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":241.5700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":129.4300,"methodology":"fee schedule"}]}]},{"description":"Thyroid Met Imaging\/studies","code_information":[
                 { "code": "78016", "type": "CPT" } ],"standard_charges":[{"minimum":110.0000,"maximum":300.1600,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":172.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":162.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":294.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":245.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":261.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":181.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":294.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":229.0800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":180.9500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":294.4500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":180.9500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":172.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":300.1600,"methodology":"fee schedule"}]}]},{"description":"Thyroid Met Imaging Body","code_information":[
                 { "code": "78018", "type": "CPT" } ],"standard_charges":[{"minimum":180.0000,"maximum":404.2600,"gross_charge":350.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":227.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":294.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":234.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":294.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":327.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":309.3500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":225.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":327.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":404.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":225.7900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":327.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":394.4300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":227.3200,"methodology":"fee schedule"}]}]},{"description":"Parathyroid Planar Imaging","code_information":[
                 { "code": "78070", "type": "CPT" } ],"standard_charges":[{"minimum":62.0000,"maximum":347.7900,"gross_charge":200.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":275.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":192.5200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":143.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":277.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":288.9000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":277.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":314.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":143.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":347.7900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":117.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":277.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":117.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":192.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":157.5700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":277.5300,"methodology":"fee schedule"}]}]},{"description":"Parathyroid Planar Imaging","code_information":[
                 { "code": "78071", "type": "CPT" } ],"standard_charges":[{"minimum":62.0000,"maximum":347.7900,"gross_charge":200.0000,"setting":"both","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":143.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":257.0000,"methodology":"fee schedule"}]}]},{"description":"Adrenal Cortex  Medulla Img","code_information":[
                 { "code": "78075", "type": "CPT" } ],"standard_charges":[{"minimum":185.0000,"maximum":446.6400,"gross_charge":525.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":206.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":385.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":303.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":446.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":402.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":446.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":446.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":385.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":385.6400,"methodology":"fee schedule"}]}]},{"description":"Bone Marrow Imaging Ltd","code_information":[
                 { "code": "78102", "type": "CPT" } ],"standard_charges":[{"minimum":109.3000,"maximum":300.0000,"gross_charge":724.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":164.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":123.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":177.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":170.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":127.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":164.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":177.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":203.5100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":121.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":123.9600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":121.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":177.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":109.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"}]}]},{"description":"Bone Marrow Imaging Mult","code_information":[
                 { "code": "78103", "type": "CPT" } ],"standard_charges":[{"minimum":110.0000,"maximum":300.0000,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":157.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":176.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":159.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":176.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":167.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":229.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":187.4200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":159.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":229.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":227.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":157.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":229.3200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":159.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":138.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":159.0000,"methodology":"fee schedule"}]}]},{"description":"Bone Marrow Imaging Body","code_information":[
                 { "code": "78104", "type": "CPT" } ],"standard_charges":[{"minimum":98.0000,"maximum":291.4200,"gross_charge":520.0000,"setting":"both","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":237.8900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":178.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":259.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":291.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":185.5900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":181.4600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":178.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":259.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":207.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":237.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":247.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":259.2300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":181.4600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"}]}]},{"description":"Red Cell Sequestration","code_information":[
                 { "code": "78140", "type": "CPT" } ],"standard_charges":[{"minimum":98.6700,"maximum":314.0500,"gross_charge":486.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":110.4700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":99.7900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":110.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":314.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":113.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":127.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":113.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":149.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":113.7800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":98.6700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":98.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":164.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":99.7900,"methodology":"fee schedule"}]}]},{"description":"Spleen Imaging","code_information":[
                 { "code": "78185", "type": "CPT" } ],"standard_charges":[{"minimum":58.8000,"maximum":208.2700,"gross_charge":200.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":160.6300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":58.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":151.9000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":160.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":176.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":170.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":185.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":176.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":208.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":147.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":151.9000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":147.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":176.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":127.0300,"methodology":"fee schedule"}]}]},{"description":"Lymph System Imaging","code_information":[
                 { "code": "78195", "type": "CPT" } ],"standard_charges":[{"minimum":105.0000,"maximum":407.6400,"gross_charge":350.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":262.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":240.7700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":363.8700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":334.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":372.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":349.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":372.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":240.7700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":224.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":372.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":407.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":224.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":347.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"}]}]},{"description":"Liver Imaging Static Only","code_information":[
                 { "code": "78201", "type": "CPT" } ],"standard_charges":[{"minimum":63.7000,"maximum":230.7600,"gross_charge":420.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":181.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":134.1400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":63.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":199.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":188.5500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":181.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":166.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":142.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":131.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":199.1000,"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 Health Maintenance Organization","standard_charge_dollar":230.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":199.1000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":131.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":121.8300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":134.1400,"methodology":"fee schedule"}]}]},{"description":"Liver Imaging With Vasc Flow","code_information":[
                 { "code": "78202", "type": "CPT" } ],"standard_charges":[{"minimum":70.0000,"maximum":253.1500,"gross_charge":500.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":148.0400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":198.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":174.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":198.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":211.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":208.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":211.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":253.1500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":147.1700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":147.1700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":211.0500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":148.0400,"methodology":"fee schedule"},{"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":139.2500,"methodology":"fee schedule"}]}]},{"description":"Lvrspleen Img Static Only","code_information":[
                 { "code": "78215", "type": "CPT" } ],"standard_charges":[{"minimum":89.0000,"maximum":236.2600,"gross_charge":170.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":89.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":141.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":187.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":187.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":197.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":194.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":197.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":187.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":163.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":203.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":236.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":138.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":138.3500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":155.5100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":141.0600,"methodology":"fee schedule"}]}]},{"description":"Lvrspleen Img W\/vasc Flow","code_information":[
                 { "code": "78216", "type": "CPT" } ],"standard_charges":[{"minimum":91.4500,"maximum":311.3100,"gross_charge":480.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":130.4600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":91.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":311.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":130.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":133.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":125.3500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":91.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":133.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":184.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":91.6500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":91.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":133.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":174.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"Hepatobiliary System Imaging","code_information":[
                 { "code": "78226", "type": "CPT" } ],"standard_charges":[{"minimum":91.0000,"maximum":416.7100,"gross_charge":190.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":344.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":344.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":307.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":321.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":307.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":321.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":305.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":164.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":305.9300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":365.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":345.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":416.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":299.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":345.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":416.7100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":263.1700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":307.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":307.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":263.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":276.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":276.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":299.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":307.3500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":365.6200,"methodology":"fee schedule"}]}]},{"description":"Hepatobil Syst Image W\/drug","code_information":[
                 { "code": "78227", "type": "CPT" } ],"standard_charges":[{"minimum":190.0000,"maximum":566.6300,"gross_charge":650.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":409.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":413.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":413.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":413.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":431.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":413.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":411.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":223.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":476.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":409.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":566.6300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":328.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"}]}]},{"description":"Salivary Glnd Img Serial Img","code_information":[
                 { "code": "78231", "type": "CPT" } ],"standard_charges":[{"minimum":91.8900,"maximum":205.0000,"gross_charge":344.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":105.0500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":95.0900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":166.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":120.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":205.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":105.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":107.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":108.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":107.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":162.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":91.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":107.9900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":91.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":95.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":180.1500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"}]}]},{"description":"Salivary Gland Function Std","code_information":[
                 { "code": "78232", "type": "CPT" } ],"standard_charges":[{"minimum":102.0300,"maximum":185.0000,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":105.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":106.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":102.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":103.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":105.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":163.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":105.8300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":178.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":103.3600,"methodology":"fee schedule"}]}]},{"description":"Esophageal Motility","code_information":[
                 { "code": "78258", "type": "CPT" } ],"standard_charges":[{"minimum":107.0000,"maximum":248.4900,"gross_charge":275.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":164.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":226.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":179.6700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":107.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":203.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":228.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":211.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":228.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":248.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":167.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":228.7700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":167.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":133.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":164.5600,"methodology":"fee schedule"}]}]},{"description":"Gastroesophageal Reflux Std","code_information":[
                 { "code": "78262", "type": "CPT" } ],"standard_charges":[{"minimum":179.7200,"maximum":291.9000,"gross_charge":574.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":233.8200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":181.9600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":252.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":242.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":252.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":233.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":199.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":179.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":252.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":291.9000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":181.9600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":179.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":215.1400,"methodology":"fee schedule"}]}]},{"description":"Gastric Emptying Img Study","code_information":[
                 { "code": "78264", "type": "CPT" } ],"standard_charges":[{"minimum":165.0000,"maximum":396.2700,"gross_charge":180.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":207.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":336.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":296.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":312.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":312.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":326.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":356.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":396.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":199.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":199.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":312.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":177.7800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":207.9800,"methodology":"fee schedule"}]}]},{"description":"Gstr Empt Img Sm Bwlcolon","code_information":[
                 { "code": "78266", "type": "CPT" } ],"standard_charges":[{"minimum":742.8000,"maximum":742.8000,"gross_charge":985.0000,"setting":"both","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":742.8000,"methodology":"fee schedule"}]}]},{"description":"Acute Gi Blood Loss Imaging","code_information":[
                 { "code": "78278", "type": "CPT" } ],"standard_charges":[{"minimum":190.0000,"maximum":409.7800,"gross_charge":270.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":375.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":264.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":216.0700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":205.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":329.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":358.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":343.6100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":207.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":364.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":205.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":409.7800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":216.0700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":207.3700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":364.7800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":202.0700,"methodology":"fee schedule"}]}]},{"description":"Intestine Imaging","code_information":[
                 { "code": "78290", "type": "CPT" } ],"standard_charges":[{"minimum":73.5000,"maximum":400.0200,"gross_charge":405.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":202.8900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":73.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":312.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":345.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":345.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":325.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":312.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":263.7100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":202.8900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":194.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":345.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":400.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":194.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":153.6300,"methodology":"fee schedule"}]}]},{"description":"Pertl-ven Shunt Patency Test","code_information":[
                 { "code": "78291", "type": "CPT" } ],"standard_charges":[{"minimum":120.0000,"maximum":304.4700,"gross_charge":550.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":249.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":187.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":196.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":249.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":267.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":258.8800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":184.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":267.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":304.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":187.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":184.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":267.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":174.0600,"methodology":"fee schedule"}]}]},{"description":"Bone Imaging Limited Area","code_information":[
                 { "code": "78300", "type": "CPT" } ],"standard_charges":[{"minimum":73.5000,"maximum":300.0000,"gross_charge":378.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":131.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":73.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":225.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":234.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":225.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":215.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":83.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":131.8800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":128.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":234.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":268.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":128.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":234.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":131.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"}]}]},{"description":"Bone Imaging Multiple Areas","code_information":[
                 { "code": "78305", "type": "CPT" } ],"standard_charges":[{"minimum":118.1900,"maximum":323.4200,"gross_charge":520.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":118.1900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":156.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":275.9300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":156.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":261.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":292.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":271.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":292.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":323.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":292.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":142.6400,"methodology":"fee schedule"}]}]},{"description":"Bone Imaging Whole Body","code_information":[
                 { "code": "78306", "type": "CPT" } ],"standard_charges":[{"minimum":175.0000,"maximum":356.1900,"gross_charge":252.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":183.9600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":279.5700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":279.5700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":345.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":279.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":292.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":345.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":279.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":258.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":258.0700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":183.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":322.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":356.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":322.3800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":183.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":204.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":183.9600,"methodology":"fee schedule"}]}]},{"description":"Bone Imaging 3 Phase","code_information":[
                 { "code": "78315", "type": "CPT" } ],"standard_charges":[{"minimum":200.0000,"maximum":416.0300,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":220.8600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":367.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":200.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":312.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":327.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":327.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":341.1500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":220.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":367.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":416.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":210.7000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":210.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":327.3500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":227.8500,"methodology":"fee schedule"}]}]},{"description":"Cardiac Shunt Imaging","code_information":[
                 { "code": "78428", "type": "CPT" } ],"standard_charges":[{"minimum":94.7600,"maximum":390.4800,"gross_charge":1278.9200,"setting":"both","payers_information":[{"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":178.2500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":139.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":139.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":191.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":186.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":178.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":390.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":139.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":191.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":139.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":211.8700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":139.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":191.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":94.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":139.8800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":289.9300,"methodology":"fee schedule"}]}]},{"description":"Vascular Flow Imaging","code_information":[
                 { "code": "78445", "type": "CPT" } ],"standard_charges":[{"minimum":65.0000,"maximum":182.7600,"gross_charge":80.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":175.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":169.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":182.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":169.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":175.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":169.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":77.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":175.2000,"methodology":"fee schedule"}]}]},{"description":"Ht Muscle Image Spect Sing","code_information":[
                 { "code": "78451", "type": "CPT" } ],"standard_charges":[{"minimum":301.1700,"maximum":480.0000,"gross_charge":1150.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":480.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":480.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":390.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":137.1800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":320.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":137.1800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":320.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":135.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":320.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":163.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":335.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":163.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":335.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":320.2400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":135.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":331.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":123.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":84.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":354.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":260.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":455.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":260.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":320.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":125.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":180.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":301.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":390.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":480.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":301.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":180.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":268.8200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":268.8200,"methodology":"fee schedule"}]}]},{"description":"Ht Muscle Image Spect Mult","code_information":[
                 { "code": "78452", "type": "CPT" } ],"standard_charges":[{"minimum":50.8800,"maximum":564.0000,"gross_charge":725.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":356.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":663.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":503.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":95.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":356.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":710.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":469.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":580.5700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":212.5700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":710.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":580.5700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":505.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":212.5700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":356.9400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":218.9500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":356.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":218.9200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":356.9400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":218.9500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":218.9200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":356.9100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":218.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":216.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":274.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":411.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":134.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":218.9500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":469.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":710.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":147.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":444.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":444.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":147.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":467.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":175.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":467.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":175.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":178.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":473.6500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":178.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":473.6500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":505.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":710.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":444.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":137.5100,"methodology":"fee schedule"}]}]},{"description":"Ht Muscle Image Planar Sing","code_information":[
                 { "code": "78453", "type": "CPT" } ],"standard_charges":[{"minimum":261.2100,"maximum":480.0000,"gross_charge":500.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":480.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":117.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":276.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":145.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":291.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":117.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":276.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":312.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":106.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":66.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":318.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":260.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":429.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":276.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":108.0300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":127.2900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":284.2500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":167.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":261.2100,"methodology":"fee schedule"}]}]},{"description":"Ht Musc Image Planar Mult","code_information":[
                 { "code": "78454", "type": "CPT" } ],"standard_charges":[{"minimum":149.4800,"maximum":640.0000,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":640.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":455.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":139.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":428.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":162.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":126.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":149.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":412.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":135.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":83.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":455.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":613.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":327.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":455.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":129.8100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":412.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":137.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":179.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":372.4800,"methodology":"fee schedule"}]}]},{"description":"Ven Thrombosis Images Bilat","code_information":[
                 { "code": "78458", "type": "CPT" } ],"standard_charges":[{"minimum":133.0000,"maximum":380.0000,"gross_charge":466.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":133.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":380.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":139.9600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":198.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":162.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":198.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":214.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":204.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":214.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":214.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":380.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":235.9500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":139.5500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":139.9600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":139.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":188.0300,"methodology":"fee schedule"}]}]},{"description":"Heart Infarct Image","code_information":[
                 { "code": "78466", "type": "CPT" } ],"standard_charges":[{"minimum":154.9500,"maximum":580.5700,"gross_charge":1150.0000,"setting":"both","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":320.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":310.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":320.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":310.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":175.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":157.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":320.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":310.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":205.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":205.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":205.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":370.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":299.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":221.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":140.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":242.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":242.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":106.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":176.5500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":242.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":175.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":93.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":175.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":93.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":242.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":176.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":104.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":205.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":107.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":107.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":205.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":192.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":132.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":176.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":94.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":97.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":205.5700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":97.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":205.5700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":143.7200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":179.9700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":299.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":370.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":176.5500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":104.3700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":179.9700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":143.7200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":179.9700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":128.0700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":128.0700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":179.9700,"methodology":"fee schedule"}]}]},{"description":"Gated Heart Planar Single","code_information":[
                 { "code": "78472", "type": "CPT" } ],"standard_charges":[{"minimum":91.5000,"maximum":500.0000,"gross_charge":280.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":172.3600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":500.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":91.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":234.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":215.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":215.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":225.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":222.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":276.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":177.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":215.8600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":177.9600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":172.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":360.9900,"methodology":"fee schedule"}]}]},{"description":"Heart First Pass Add-on","code_information":[
                 { "code": "78496", "type": "CPT" } ],"standard_charges":[{"minimum":30.0000,"maximum":300.0000,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.5700,"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":42.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":59.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":42.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":45.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":43.7900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":45.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":45.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":42.3600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":48.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":48.3400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":46.2600,"methodology":"fee schedule"}]}]},{"description":"Lung Perfusion Imaging","code_information":[
                 { "code": "78580", "type": "CPT" } ],"standard_charges":[{"minimum":73.5000,"maximum":275.5400,"gross_charge":270.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":253.0300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":249.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":275.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":224.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":172.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":233.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":224.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":73.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":224.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":222.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"Lung Perfusion Imaging","code_information":[
                 { "code": "78582", "type": "CPT" } ],"standard_charges":[{"minimum":73.5000,"maximum":275.5400,"gross_charge":270.0000,"setting":"both","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":261.2200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":292.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":230.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":335.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":312.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":163.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":313.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":327.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":354.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":406.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":292.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":313.7900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":261.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":286.3000,"methodology":"fee schedule"}]}]},{"description":"Lung Ventilatperfus Imaging","code_information":[
                 { "code": "78587", "type": "CPT" } ],"standard_charges":[{"minimum":56.0000,"maximum":406.8600,"gross_charge":270.0000,"setting":"both","payers_information":[{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":168.0300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":168.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":177.6500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":56.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":177.6500,"methodology":"fee schedule"}]}]},{"description":"Brain Image < 4 Views","code_information":[
                 { "code": "78600", "type": "CPT" } ],"standard_charges":[{"minimum":78.4000,"maximum":219.0600,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":113.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":172.8200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":132.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":78.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":192.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":181.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":138.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":172.8200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":129.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":192.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":219.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":129.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":192.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":113.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":113.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":132.5000,"methodology":"fee schedule"}]}]},{"description":"Brain Image W\/flow < 4 Views","code_information":[
                 { "code": "78601", "type": "CPT" } ],"standard_charges":[{"minimum":130.0000,"maximum":260.8400,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":156.0500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":133.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":205.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":205.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":183.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":226.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":212.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":226.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":260.8400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":152.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":226.6500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":152.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":156.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":133.4800,"methodology":"fee schedule"}]}]},{"description":"Brain Image 4 Views","code_information":[
                 { "code": "78605", "type": "CPT" } ],"standard_charges":[{"minimum":84.0000,"maximum":300.0000,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":191.8000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":143.1200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":208.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":191.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":170.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":191.8000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":142.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":208.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":238.6800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":142.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":208.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":152.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":143.1200,"methodology":"fee schedule"}]}]},{"description":"Brain Image W\/flow 4  Views","code_information":[
                 { "code": "78606", "type": "CPT" } ],"standard_charges":[{"minimum":91.0000,"maximum":399.1300,"gross_charge":270.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":91.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":340.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":249.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":353.4800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":239.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":309.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":349.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":323.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":349.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":349.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":399.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":340.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":236.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":239.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":236.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":167.0200,"methodology":"fee schedule"}]}]},{"description":"Brain Imaging (pet)","code_information":[
                 { "code": "78608", "type": "CPT" } ],"standard_charges":[{"minimum":151.2000,"maximum":433.0000,"gross_charge":600.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":379.2000,"methodology":"fee schedule"}]}]},{"description":"Brain Flow Imaging Only","code_information":[
                 { "code": "78610", "type": "CPT" } ],"standard_charges":[{"minimum":35.0000,"maximum":300.0000,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":126.3600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":64.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":184.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":161.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":214.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":167.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":182.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":169.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":182.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":182.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":217.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":182.8000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":125.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":182.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":182.8000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":125.2500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":59.5900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":126.3600,"methodology":"fee schedule"}]}]},{"description":"Cerebrospinal Fluid Scan","code_information":[
                 { "code": "78630", "type": "CPT" } ],"standard_charges":[{"minimum":192.5000,"maximum":550.0000,"gross_charge":400.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":248.1000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":192.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":318.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":268.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":318.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":353.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":333.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":353.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":409.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":248.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":353.2500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":243.5800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":243.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":274.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"}]}]},{"description":"Kidney Imaging Morphol","code_information":[
                 { "code": "78700", "type": "CPT" } ],"standard_charges":[{"minimum":163.0000,"maximum":216.3700,"gross_charge":480.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":178.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":169.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":163.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":178.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":216.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":178.4000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":172.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":163.0000,"methodology":"fee schedule"}]}]},{"description":"Kidney Imaging With Flow","code_information":[
                 { "code": "78701", "type": "CPT" } ],"standard_charges":[{"minimum":70.0000,"maximum":301.2800,"gross_charge":388.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":260.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":241.4800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":153.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":181.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":260.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":214.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":227.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":218.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":227.0200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":152.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":227.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":301.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":152.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":204.9100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":260.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":153.7500,"methodology":"fee schedule"}]}]},{"description":"K Flow\/funct Image W\/o Drug","code_information":[
                 { "code": "78707", "type": "CPT" } ],"standard_charges":[{"minimum":126.0000,"maximum":680.0000,"gross_charge":400.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":170.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":340.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":221.6200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":126.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":680.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":242.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":242.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":229.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":221.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":179.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":340.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":170.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":242.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":340.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":321.7300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":171.9600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":171.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":340.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":298.2400,"methodology":"fee schedule"}]}]},{"description":"K Flow\/funct Image W\/drug","code_information":[
                 { "code": "78708", "type": "CPT" } ],"standard_charges":[{"minimum":130.7100,"maximum":347.0000,"gross_charge":340.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":210.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":131.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":347.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":176.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":138.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":345.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":176.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":184.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":180.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":130.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":184.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":302.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":347.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":131.6000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":130.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":184.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":318.0100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":340.0000,"methodology":"fee schedule"}]}]},{"description":"K Flow\/funct Image Multiple","code_information":[
                 { "code": "78709", "type": "CPT" } ],"standard_charges":[{"minimum":269.0000,"maximum":436.3800,"gross_charge":350.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":357.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":350.3900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":271.4500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":297.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":350.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":364.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":350.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":333.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":355.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":381.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":357.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":436.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":269.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":269.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":271.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":344.1600,"methodology":"fee schedule"}]}]},{"description":"Kidney Function Study","code_information":[
                 { "code": "78725", "type": "CPT" } ],"standard_charges":[{"minimum":124.7100,"maximum":300.0000,"gross_charge":930.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":124.7100,"methodology":"fee schedule"}]}]},{"description":"Urinary Bladder Retention","code_information":[
                 { "code": "78730", "type": "CPT" } ],"standard_charges":[{"minimum":54.5700,"maximum":170.0000,"gross_charge":220.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":69.1300,"methodology":"fee schedule"}]}]},{"description":"Ureteral Reflux Study","code_information":[
                 { "code": "78740", "type": "CPT" } ],"standard_charges":[{"minimum":126.0000,"maximum":300.0000,"gross_charge":352.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":126.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":167.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":206.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":228.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":215.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":184.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":206.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":228.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":259.6100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":164.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":167.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":164.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":228.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":141.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"}]}]},{"description":"Testicular Imaging W\/flow","code_information":[
                 { "code": "78761", "type": "CPT" } ],"standard_charges":[{"minimum":80.5000,"maximum":300.0000,"gross_charge":352.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":80.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":160.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":157.8700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":103.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":218.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":220.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":210.0800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":202.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":220.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":245.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":154.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":220.4300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":154.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":103.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":174.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":157.8700,"methodology":"fee schedule"}]}]},{"description":"Rp Loclzj Tum 1 Area 1 D Img","code_information":[
                 { "code": "78800", "type": "CPT" } ],"standard_charges":[{"minimum":137.0600,"maximum":590.0000,"gross_charge":250.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":238.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":238.9100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":590.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":138.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":238.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":160.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":203.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":250.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":203.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":302.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":590.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":137.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":203.3700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":137.0600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":138.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":140.2900,"methodology":"fee schedule"}]}]},{"description":"Rp Loclzj Tum 2area 1d Img","code_information":[
                 { "code": "78801", "type": "CPT" } ],"standard_charges":[{"minimum":100.0000,"maximum":350.0000,"gross_charge":480.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":178.1200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":259.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":269.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":271.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":269.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":206.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":259.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":269.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":328.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":178.1800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":178.1200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":178.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":177.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"}]}]},{"description":"Rp Loclzj Tum Whbdy 1 D Img","code_information":[
                 { "code": "78802", "type": "CPT" } ],"standard_charges":[{"minimum":122.5000,"maximum":450.0000,"gross_charge":490.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":306.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":292.7900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":292.7900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":234.4700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":122.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":292.7900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":292.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":292.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":306.3400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":233.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":336.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":369.1100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":233.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":337.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":234.4700,"methodology":"fee schedule"}]}]},{"description":"Rp Loclzj Tum Spect 1 Area","code_information":[
                 { "code": "78803", "type": "CPT" } ],"standard_charges":[{"minimum":249.0800,"maximum":451.5200,"gross_charge":500.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":249.0800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":360.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":360.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":360.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":378.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":360.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":358.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":440.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":358.2000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":250.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":364.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":451.5200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":250.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":400.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":249.0800,"methodology":"fee schedule"}]}]},{"description":"Rp Loclzj Tum Whbdy 2d Img","code_information":[
                 { "code": "78804", "type": "CPT" } ],"standard_charges":[{"minimum":152.0000,"maximum":804.3400,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":408.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":654.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":429.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":152.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":610.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":594.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":644.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":594.1100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":408.2000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":410.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":594.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":804.3400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":410.4300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":326.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"}]}]},{"description":"Rp Loclzj Tum Spect W\/ct 1","code_information":[
                 { "code": "78830", "type": "CPT" } ],"standard_charges":[{"minimum":151.2000,"maximum":433.0000,"gross_charge":600.0000,"setting":"both","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":418.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":224.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":362.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":366.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":378.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":433.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":264.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":362.1800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":258.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":408.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":564.9500,"methodology":"fee schedule"}]}]},{"description":"Nuclear Rx Oral Admin","code_information":[
                 { "code": "79005", "type": "CPT" } ],"standard_charges":[{"minimum":79.6400,"maximum":465.0000,"gross_charge":700.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":465.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":141.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":142.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":141.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":79.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":136.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":141.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":405.1400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":136.2300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":245.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Nuclear Rx Iv Admin","code_information":[
                 { "code": "79101", "type": "CPT" } ],"standard_charges":[{"minimum":84.6000,"maximum":450.0000,"gross_charge":340.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":151.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":151.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":151.1400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":148.4300,"methodology":"fee schedule"}]}]},{"description":"Nuclear Rx Intracav Admin","code_information":[
                 { "code": "79200", "type": "CPT" } ],"standard_charges":[{"minimum":81.5100,"maximum":216.9200,"gross_charge":520.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":181.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":138.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":144.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":138.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":81.5100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":132.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":138.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":157.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":216.9200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":132.8400,"methodology":"fee schedule"}]}]},{"description":"Nuclr Rx Interstit Colloid","code_information":[
                 { "code": "79300", "type": "CPT" } ],"standard_charges":[{"minimum":210.0000,"maximum":397.0400,"gross_charge":600.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":210.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":383.0800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":397.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":278.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":370.3800,"methodology":"fee schedule"}]}]},{"description":"Basic Metabolic Pnl Total Ca","code_information":[
                 { "code": "80006", "type": "CPT" } ],"standard_charges":[{"minimum":5.9200,"maximum":16.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Basic Metabolic Pnl Total Ca","code_information":[
                 { "code": "80048", "type": "CPT" } ],"standard_charges":[{"minimum":5.9200,"maximum":16.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.8300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":8.0600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.1500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.9200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.1500,"methodology":"fee schedule"}]}]},{"description":"General Health Panel","code_information":[
                 { "code": "80050", "type": "CPT" } ],"standard_charges":[{"minimum":35.0000,"maximum":72.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"}]}]},{"description":"Electrolyte Panel","code_information":[
                 { "code": "80051", "type": "CPT" } ],"standard_charges":[{"minimum":4.6500,"maximum":15.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.9100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.0100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","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":6.6900,"methodology":"fee schedule"}]}]},{"description":"Comprehen Metabolic Panel","code_information":[
                 { "code": "80053", "type": "CPT" } ],"standard_charges":[{"minimum":9.1300,"maximum":24.0000,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.6900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.1300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.7200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.5600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.6900,"methodology":"fee schedule"}]}]},{"description":"Obstetric Panel","code_information":[
                 { "code": "80055", "type": "CPT" } ],"standard_charges":[{"minimum":41.3100,"maximum":175.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":54.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":45.5800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":54.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":41.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":54.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":45.5800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":45.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":54.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"}]}]},{"description":"Lipid Panel","code_information":[
                 { "code": "80061", "type": "CPT" } ],"standard_charges":[{"minimum":9.3700,"maximum":30.0000,"gross_charge":187.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.1900,"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":9.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.4000,"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":11.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.7200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":12.7700,"methodology":"fee schedule"}]}]},{"description":"Renal Function Panel","code_information":[
                 { "code": "80069", "type": "CPT" } ],"standard_charges":[{"minimum":6.0800,"maximum":20.0000,"gross_charge":21.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.0800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.2100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.2100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Acute Hepatitis Panel","code_information":[
                 { "code": "80074", "type": "CPT" } ],"standard_charges":[{"minimum":33.3400,"maximum":70.8400,"gross_charge":216.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":68.2100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":47.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":64.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":64.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":41.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":66.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":58.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":70.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.6300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":47.6300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":68.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":45.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"}]}]},{"description":"Hepatic Function Panel","code_information":[
                 { "code": "80076", "type": "CPT" } ],"standard_charges":[{"minimum":5.7200,"maximum":16.0000,"gross_charge":267.0000,"setting":"outpatient","payers_information":[{"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":5.7200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.1500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.1500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.1700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":7.7900,"methodology":"fee schedule"}]}]},{"description":"Drug Test Prsmv Dir Opt Obs","code_information":[
                 { "code": "80101", "type": "CPT" } ],"standard_charges":[{"minimum":10.5000,"maximum":19.7200,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.7200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.7200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.8500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Amikacin","code_information":[
                 { "code": "80150", "type": "CPT" } ],"standard_charges":[{"minimum":13.0300,"maximum":39.0000,"gross_charge":83.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Carbamazepine Total","code_information":[
                 { "code": "80156", "type": "CPT" } ],"standard_charges":[{"minimum":10.2000,"maximum":32.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.4900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8000,"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":12.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.6500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.3400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":13.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"}]}]},{"description":"Assay Carbamazepine Free","code_information":[
                 { "code": "80157", "type": "CPT" } ],"standard_charges":[{"minimum":11.4500,"maximum":21.5000,"gross_charge":195.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.4500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.4500,"methodology":"fee schedule"}]}]},{"description":"Drug Assay Cyclosporine","code_information":[
                 { "code": "80158", "type": "CPT" } ],"standard_charges":[{"minimum":15.6000,"maximum":95.0000,"gross_charge":156.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":94.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":22.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":94.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":22.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Digoxin Total","code_information":[
                 { "code": "80162", "type": "CPT" } ],"standard_charges":[{"minimum":9.3000,"maximum":25.6000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.6600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Dipropylacetic Acd Tot","code_information":[
                 { "code": "80164", "type": "CPT" } ],"standard_charges":[{"minimum":9.4800,"maximum":40.0000,"gross_charge":86.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.4800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.5400,"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":28.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ethosuximide","code_information":[
                 { "code": "80168", "type": "CPT" } ],"standard_charges":[{"minimum":2.0000,"maximum":45.0000,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":32.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.4100,"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":32.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Gentamicin","code_information":[
                 { "code": "80170", "type": "CPT" } ],"standard_charges":[{"minimum":23.0700,"maximum":30.0000,"gross_charge":83.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"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 Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.1500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.9000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":2.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Haloperidol","code_information":[
                 { "code": "80173", "type": "CPT" } ],"standard_charges":[{"minimum":16.8000,"maximum":80.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":74.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.8300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.3400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":74.0000,"methodology":"fee schedule"}]}]},{"description":"Quantitative Assay Drug","code_information":[
                 { "code": "80175", "type": "CPT" } ],"standard_charges":[{"minimum":14.4300,"maximum":95.0000,"gross_charge":95.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.4300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lidocaine","code_information":[
                 { "code": "80176", "type": "CPT" } ],"standard_charges":[{"minimum":20.0000,"maximum":60.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Quantitative Assay Drug","code_information":[
                 { "code": "80177", "type": "CPT" } ],"standard_charges":[{"minimum":13.0600,"maximum":64.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lithium","code_information":[
                 { "code": "80178", "type": "CPT" } ],"standard_charges":[{"minimum":5.7100,"maximum":20.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.6000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.3100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.7100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.6000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":6.3100,"methodology":"fee schedule"}]}]},{"description":"Drug Assay Salicylate","code_information":[
                 { "code": "80179", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":18.6400,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Phenobarbital","code_information":[
                 { "code": "80184", "type": "CPT" } ],"standard_charges":[{"minimum":10.7100,"maximum":32.0000,"gross_charge":80.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.7100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.7100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.0100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.4100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Phenytoin Total","code_information":[
                 { "code": "80185", "type": "CPT" } ],"standard_charges":[{"minimum":9.2800,"maximum":32.0000,"gross_charge":74.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"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":11.4500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.6400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Phenytoin Free","code_information":[
                 { "code": "80186", "type": "CPT" } ],"standard_charges":[{"minimum":13.7600,"maximum":20.0000,"gross_charge":91.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS 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":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.2300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Procainamide","code_information":[
                 { "code": "80190", "type": "CPT" } ],"standard_charges":[{"minimum":15.9700,"maximum":55.0000,"gross_charge":116.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.9900,"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":15.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.9900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":15.9700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Quinidine","code_information":[
                 { "code": "80194", "type": "CPT" } ],"standard_charges":[{"minimum":12.6200,"maximum":55.0000,"gross_charge":57.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.9200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.9100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.9200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.3900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.9100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sirolimus","code_information":[
                 { "code": "80195", "type": "CPT" } ],"standard_charges":[{"minimum":19.3200,"maximum":80.0000,"gross_charge":273.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva 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":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.3200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Tacrolimus","code_information":[
                 { "code": "80197", "type": "CPT" } ],"standard_charges":[{"minimum":11.8700,"maximum":150.0000,"gross_charge":190.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":102.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.8700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.1700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.1700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.6600,"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":100.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Theophylline","code_information":[
                 { "code": "80198", "type": "CPT" } ],"standard_charges":[{"minimum":12.2200,"maximum":40.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":13.4900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Topiramate","code_information":[
                 { "code": "80201", "type": "CPT" } ],"standard_charges":[{"minimum":10.3000,"maximum":125.0000,"gross_charge":175.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","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":12.9800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.0700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vancomycin","code_information":[
                 { "code": "80202", "type": "CPT" } ],"standard_charges":[{"minimum":9.4800,"maximum":73.9900,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.4800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":73.9900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.4000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":73.9900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"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"}]}]},{"description":"Quantitative Assay Drug","code_information":[
                 { "code": "80299", "type": "CPT" } ],"standard_charges":[{"minimum":18.6400,"maximum":150.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":235.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":155.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":212.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":285.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":63.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":260.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":310.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":215.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":240.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"}]}]},{"description":"Drug Test Prsmv Dir Opt Obs","code_information":[
                 { "code": "80300", "type": "CPT" } ],"standard_charges":[{"minimum":10.5000,"maximum":19.7200,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"}]}]},{"description":"Drug Test Prsmv Dir Opt Obs","code_information":[
                 { "code": "80304", "type": "CPT" } ],"standard_charges":[{"minimum":10.5000,"maximum":19.7200,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"}]}]},{"description":"Drug Test Prsmv Dir Opt Obs","code_information":[
                 { "code": "80305", "type": "CPT" } ],"standard_charges":[{"minimum":10.5000,"maximum":19.7200,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.2400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.4600,"methodology":"fee schedule"}]}]},{"description":"Alkaloids Nos","code_information":[
                 { "code": "80323", "type": "CPT" } ],"standard_charges":[{"minimum":18.3000,"maximum":19.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"}]}]},{"description":"Col Chromotography Qual\/quan","code_information":[
                 { "code": "80420", "type": "CPT" } ],"standard_charges":[{"minimum":17.2700,"maximum":70.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Growth Hormone (hgh)","code_information":[
                 { "code": "80428", "type": "CPT" } ],"standard_charges":[{"minimum":23.8800,"maximum":85.0000,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"}]}]},{"description":"Urinalysis Nonauto W\/scope","code_information":[
                 { "code": "81000", "type": "CPT" } ],"standard_charges":[{"minimum":2.8100,"maximum":7.7500,"gross_charge":8.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.8100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"}]}]},{"description":"Urinalysis Auto W\/scope","code_information":[
                 { "code": "81001", "type": "CPT" } ],"standard_charges":[{"minimum":2.4200,"maximum":7.7500,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.1700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.1700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":3.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":3.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.1700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.1700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.4600,"methodology":"fee schedule"}]}]},{"description":"Urinalysis Nonauto W\/o Scope","code_information":[
                 { "code": "81002", "type": "CPT" } ],"standard_charges":[{"minimum":2.4400,"maximum":4.0000,"gross_charge":4.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":3.3000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.6600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":3.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":3.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"}]}]},{"description":"Urinalysis Auto W\/o Scope","code_information":[
                 { "code": "81003", "type": "CPT" } ],"standard_charges":[{"minimum":1.9200,"maximum":3.2200,"gross_charge":5.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":1.9200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":1.9400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":3.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":1.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","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":1.9200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.2200,"methodology":"fee schedule"}]}]},{"description":"Urinalysis","code_information":[
                 { "code": "81005", "type": "CPT" } ],"standard_charges":[{"minimum":1.8700,"maximum":10.0000,"gross_charge":9.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.3600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":1.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.3600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.3600,"methodology":"fee schedule"}]}]},{"description":"Microscopic Exam Of Urine","code_information":[
                 { "code": "81015", "type": "CPT" } ],"standard_charges":[{"minimum":2.6300,"maximum":4.5400,"gross_charge":8.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","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":2.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":4.2400,"methodology":"fee schedule"}]}]},{"description":"Urine Pregnancy Test","code_information":[
                 { "code": "81025", "type": "CPT" } ],"standard_charges":[{"minimum":6.0300,"maximum":13.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.0300,"methodology":"fee schedule"}]}]},{"description":"Unlisted Urinalysis Px","code_information":[
                 { "code": "81099", "type": "CPT" } ],"standard_charges":[{"minimum":5.8500,"maximum":5.8500,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.8500,"methodology":"fee schedule"}]}]},{"description":"F2 Gene","code_information":[
                 { "code": "81240", "type": "CPT" } ],"standard_charges":[{"minimum":14.8600,"maximum":90.0000,"gross_charge":202.5000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":65.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":38.1800,"methodology":"fee schedule"}]}]},{"description":"F5 Gene","code_information":[
                 { "code": "81241", "type": "CPT" } ],"standard_charges":[{"minimum":5.6800,"maximum":100.0000,"gross_charge":220.1100,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":66.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":73.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":41.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"}]}]},{"description":"Jak2 Gene","code_information":[
                 { "code": "81270", "type": "CPT" } ],"standard_charges":[{"minimum":95.8000,"maximum":95.8000,"gross_charge":2310.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.8000,"methodology":"fee schedule"}]}]},{"description":"Hla I Typing 1 Antigen Lr","code_information":[
                 { "code": "81374", "type": "CPT" } ],"standard_charges":[{"minimum":69.3700,"maximum":126.0000,"gross_charge":207.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":69.3700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":69.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":126.0000,"methodology":"fee schedule"}]}]},{"description":"Ketone Bodys Qual","code_information":[
                 { "code": "82009", "type": "CPT" } ],"standard_charges":[{"minimum":1.3700,"maximum":6.4700,"gross_charge":17.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":1.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.1600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":1.4000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare 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":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":1.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":1.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":1.4000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.3100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":1.3700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":1.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"}]}]},{"description":"Ketone Bodys Quan","code_information":[
                 { "code": "82010", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":11.7100,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.7100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.3500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.7100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.3500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Acetylcholinesterase Assay","code_information":[
                 { "code": "82013", "type": "CPT" } ],"standard_charges":[{"minimum":15.2200,"maximum":80.0000,"gross_charge":396.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.6100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Acylcarnitines Quant","code_information":[
                 { "code": "82017", "type": "CPT" } ],"standard_charges":[{"minimum":14.4700,"maximum":30.0000,"gross_charge":281.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.6400,"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 Health Maintenance Organization","standard_charge_dollar":20.6700,"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":20.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.6700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Acth","code_information":[
                 { "code": "82024", "type": "CPT" } ],"standard_charges":[{"minimum":33.3800,"maximum":100.0000,"gross_charge":333.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":55.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":38.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":55.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":38.6200,"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":33.3800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":55.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":47.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":53.9700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":53.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Adp  Amp","code_information":[
                 { "code": "82030", "type": "CPT" } ],"standard_charges":[{"minimum":35.0000,"maximum":36.9500,"gross_charge":175.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.9500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":36.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":35.1500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":36.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.9500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":36.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.9500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serum Albumin","code_information":[
                 { "code": "82040", "type": "CPT" } ],"standard_charges":[{"minimum":1.4600,"maximum":7.0900,"gross_charge":21.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.4700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":1.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":1.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":1.5000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.9200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.9500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":1.4600,"methodology":"fee schedule"}]}]},{"description":"Other Source Albumin Quan Ea","code_information":[
                 { "code": "82042", "type": "CPT" } ],"standard_charges":[{"minimum":3.9000,"maximum":7.7800,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS 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":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"}]}]},{"description":"Ur Albumin Quantitative","code_information":[
                 { "code": "82043", "type": "CPT" } ],"standard_charges":[{"minimum":35.0000,"maximum":35.0000,"gross_charge":6.3000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"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":5.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.7800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.7800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.3000,"methodology":"fee schedule"}]}]},{"description":"Ur Albumin Semiquantitative","code_information":[
                 { "code": "82044", "type": "CPT" } ],"standard_charges":[{"minimum":2.4400,"maximum":6.2300,"gross_charge":5.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":2.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":2.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.3500,"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":4.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":2.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":2.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.6700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":2.5000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Aldolase","code_information":[
                 { "code": "82085", "type": "CPT" } ],"standard_charges":[{"minimum":6.8000,"maximum":20.0000,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.9000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.9000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.9000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.5600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Aldosterone","code_information":[
                 { "code": "82088", "type": "CPT" } ],"standard_charges":[{"minimum":28.5300,"maximum":145.2600,"gross_charge":166.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":58.3700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":57.3500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":145.2600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":145.2600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":58.3700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":57.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":57.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":58.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":58.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":57.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":58.3700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":57.3500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":56.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":58.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":57.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":145.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":145.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":38.8600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":56.9400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":58.3700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":57.3500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":38.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"}]}]},{"description":"Alpha-1-antitrypsin Total","code_information":[
                 { "code": "82103", "type": "CPT" } ],"standard_charges":[{"minimum":9.4100,"maximum":40.0000,"gross_charge":72.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.9100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.9800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.9100,"methodology":"fee schedule"}]}]},{"description":"Alpha-1-antitrypsin Pheno","code_information":[
                 { "code": "82104", "type": "CPT" } ],"standard_charges":[{"minimum":15.7400,"maximum":90.0000,"gross_charge":126.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.7400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.7100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.7100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.7100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.7000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.7100,"methodology":"fee schedule"}]}]},{"description":"Alpha-fetoprotein Serum","code_information":[
                 { "code": "82105", "type": "CPT" } ],"standard_charges":[{"minimum":11.7400,"maximum":32.0000,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.0300,"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":11.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.7700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.0300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":16.0000,"methodology":"fee schedule"}]}]},{"description":"Alpha-fetoprotein Amniotic","code_information":[
                 { "code": "82106", "type": "CPT" } ],"standard_charges":[{"minimum":11.9000,"maximum":40.0000,"gross_charge":1330.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.0300,"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":11.9000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.0300,"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 Commercial","standard_charge_dollar":23.4400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.4400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":16.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Aluminum","code_information":[
                 { "code": "82108", "type": "CPT" } ],"standard_charges":[{"minimum":35.8500,"maximum":60.0000,"gross_charge":130.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.0200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Amino Acids Mult Qual","code_information":[
                 { "code": "82128", "type": "CPT" } ],"standard_charges":[{"minimum":11.9000,"maximum":84.0000,"gross_charge":90.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":29.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.9000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.4400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.3700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.3700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.4400,"methodology":"fee schedule"}]}]},{"description":"Amino Acids Single Quant","code_information":[
                 { "code": "82131", "type": "CPT" } ],"standard_charges":[{"minimum":23.7400,"maximum":485.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":70.9900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":70.9900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":70.9900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.1600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.3800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.1600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":485.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":485.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":485.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":70.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":70.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":70.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"}]}]},{"description":"Assay Aminolevulinic Acid","code_information":[
                 { "code": "82135", "type": "CPT" } ],"standard_charges":[{"minimum":14.2200,"maximum":55.0000,"gross_charge":153.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":37.0500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.6900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.5800,"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":15.6900,"methodology":"fee schedule"}]}]},{"description":"Amino Acids Quan 6 Or More","code_information":[
                 { "code": "82139", "type": "CPT" } ],"standard_charges":[{"minimum":14.5800,"maximum":30.0000,"gross_charge":380.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.6400,"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 Advantage Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.6700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ammonia","code_information":[
                 { "code": "82140", "type": "CPT" } ],"standard_charges":[{"minimum":10.2000,"maximum":24.0000,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.8700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.5700,"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":12.5900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.8700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.9000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.7000,"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":18.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Amylase","code_information":[
                 { "code": "82150", "type": "CPT" } ],"standard_charges":[{"minimum":4.5400,"maximum":10.4000,"gross_charge":44.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","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 Medicare Avantage","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.6000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":6.1800,"methodology":"fee schedule"}]}]},{"description":"Androstanediol Glucuronide","code_information":[
                 { "code": "82154", "type": "CPT" } ],"standard_charges":[{"minimum":39.2800,"maximum":130.0000,"gross_charge":156.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":39.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":40.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":40.2900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Androstenedione","code_information":[
                 { "code": "82157", "type": "CPT" } ],"standard_charges":[{"minimum":25.3000,"maximum":122.4900,"gross_charge":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":122.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":41.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":41.9300,"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":27.9200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":41.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":41.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":122.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.9200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":40.9000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":40.9000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":41.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.9200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":41.9300,"methodology":"fee schedule"}]}]},{"description":"Angiotensin I Enzyme Test","code_information":[
                 { "code": "82164", "type": "CPT" } ],"standard_charges":[{"minimum":10.2200,"maximum":61.4900,"gross_charge":153.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":61.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":61.4900,"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 Medicare Avantage","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":61.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":61.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.9200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.3900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.5400,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Apolipoprotein","code_information":[
                 { "code": "82172", "type": "CPT" } ],"standard_charges":[{"minimum":21.8100,"maximum":40.0000,"gross_charge":176.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"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":21.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.6500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.6500,"methodology":"fee schedule"},{"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":28.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Arsenic","code_information":[
                 { "code": "82175", "type": "CPT" } ],"standard_charges":[{"minimum":26.5100,"maximum":45.0000,"gross_charge":190.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.5100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.5100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.7000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.5100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.0900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ascorbic Acid","code_information":[
                 { "code": "82180", "type": "CPT" } ],"standard_charges":[{"minimum":6.9200,"maximum":80.0000,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.9900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.9200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.9900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.8900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Beta-2 Protein","code_information":[
                 { "code": "82232", "type": "CPT" } ],"standard_charges":[{"minimum":16.1800,"maximum":50.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.1700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.4900,"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":22.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.1700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.8400,"methodology":"fee schedule"}]}]},{"description":"Bile Acids Total","code_information":[
                 { "code": "82239", "type": "CPT" } ],"standard_charges":[{"minimum":11.9800,"maximum":35.0000,"gross_charge":130.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.3100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.2500,"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":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.9400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.9400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"}]}]},{"description":"Bile Acids Cholylglycine","code_information":[
                 { "code": "82240", "type": "CPT" } ],"standard_charges":[{"minimum":20.2500,"maximum":70.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":61.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":36.2000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":37.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":37.1300,"methodology":"fee schedule"}]}]},{"description":"Bilirubin Total","code_information":[
                 { "code": "82247", "type": "CPT" } ],"standard_charges":[{"minimum":3.5100,"maximum":19.2000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.5100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.1900,"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":4.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.7800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.0200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.7800,"methodology":"fee schedule"}]}]},{"description":"Bilirubin Direct","code_information":[
                 { "code": "82248", "type": "CPT" } ],"standard_charges":[{"minimum":3.5100,"maximum":9.0000,"gross_charge":53.0000,"setting":"outpatient","payers_information":[{"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":3.5100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.1900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.0200,"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":4.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.0200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.7800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Biotinidase","code_information":[
                 { "code": "82261", "type": "CPT" } ],"standard_charges":[{"minimum":20.6400,"maximum":30.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.6400,"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 Advantage Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"}]}]},{"description":"Occult Blood Feces","code_information":[
                 { "code": "82270", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":19.2000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Occult Blood Other Sources","code_information":[
                 { "code": "82271", "type": "CPT" } ],"standard_charges":[{"minimum":4.6600,"maximum":5.3200,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.3200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"}]}]},{"description":"Assay Test For Blood Fecal","code_information":[
                 { "code": "82274", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":25.2300,"gross_charge":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.6400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.7800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.7800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.7800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.7800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cadmium","code_information":[
                 { "code": "82300", "type": "CPT" } ],"standard_charges":[{"minimum":32.5700,"maximum":58.4900,"gross_charge":216.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.5700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":58.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":58.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":32.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.5700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":32.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":32.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":58.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":58.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.0600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":32.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":32.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":22.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":22.0600,"methodology":"fee schedule"}]}]},{"description":"Vitamin D 25 Hydroxy","code_information":[
                 { "code": "82306", "type": "CPT" } ],"standard_charges":[{"minimum":20.7200,"maximum":72.0000,"gross_charge":130.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.7200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":42.4000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":40.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":41.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":36.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":44.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":42.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.6000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Calcitonin","code_information":[
                 { "code": "82308", "type": "CPT" } ],"standard_charges":[{"minimum":23.1600,"maximum":120.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":113.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":38.3600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":107.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":38.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":38.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":113.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.5400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":37.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":37.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":107.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.5400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Calcium","code_information":[
                 { "code": "82310", "type": "CPT" } ],"standard_charges":[{"minimum":3.6100,"maximum":7.3900,"gross_charge":27.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.6100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"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":4.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.0300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.3700,"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":4.9200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","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":4.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Calcium","code_information":[
                 { "code": "82330", "type": "CPT" } ],"standard_charges":[{"minimum":9.5800,"maximum":38.4900,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.8200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.0200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.0400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Calcium In Urine","code_information":[
                 { "code": "82340", "type": "CPT" } ],"standard_charges":[{"minimum":4.2200,"maximum":12.0000,"gross_charge":27.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.2100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.6400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Chloride","code_information":[
                 { "code": "82345", "type": "CPT" } ],"standard_charges":[{"minimum":3.9800,"maximum":8.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Calculus Analysis Qual","code_information":[
                 { "code": "82355", "type": "CPT" } ],"standard_charges":[{"minimum":8.1100,"maximum":30.9900,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.9900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.2100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.1700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.5800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.1100,"methodology":"fee schedule"}]}]},{"description":"Assay C-d Transfer Measure","code_information":[
                 { "code": "82373", "type": "CPT" } ],"standard_charges":[{"minimum":24.6000,"maximum":80.0000,"gross_charge":490.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.8600,"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 Advantage Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"}]}]},{"description":"Assay Blood Carbon Dioxide","code_information":[
                 { "code": "82374", "type": "CPT" } ],"standard_charges":[{"minimum":6.8800,"maximum":10.0000,"gross_charge":17.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare 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":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Carboxyhb Quant","code_information":[
                 { "code": "82375", "type": "CPT" } ],"standard_charges":[{"minimum":10.6500,"maximum":50.4900,"gross_charge":116.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.6600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.6600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.6600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.7500,"methodology":"fee schedule"}]}]},{"description":"Carcinoembryonic Antigen","code_information":[
                 { "code": "82378", "type": "CPT" } ],"standard_charges":[{"minimum":13.2700,"maximum":39.0000,"gross_charge":116.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.5100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.1700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Carnitine","code_information":[
                 { "code": "82379", "type": "CPT" } ],"standard_charges":[{"minimum":14.4700,"maximum":105.2400,"gross_charge":540.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":105.2400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.5800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.6400,"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 Advantage Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":105.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.6700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"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":95.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Carotene","code_information":[
                 { "code": "82380", "type": "CPT" } ],"standard_charges":[{"minimum":6.4500,"maximum":50.9900,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.9900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.4500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.8900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":48.0000,"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"}]}]},{"description":"Assay Urine Catecholamines","code_information":[
                 { "code": "82382", "type": "CPT" } ],"standard_charges":[{"minimum":19.1100,"maximum":103.4900,"gross_charge":80.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.1100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":103.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":103.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.0800,"methodology":"fee schedule"}]}]},{"description":"Assay Blood Catecholamines","code_information":[
                 { "code": "82383", "type": "CPT" } ],"standard_charges":[{"minimum":20.3600,"maximum":130.4900,"gross_charge":80.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":130.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.3600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":130.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.0100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Three Catecholamines","code_information":[
                 { "code": "82384", "type": "CPT" } ],"standard_charges":[{"minimum":24.5300,"maximum":90.0000,"gross_charge":80.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":34.4000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ceruloplasmin","code_information":[
                 { "code": "82390", "type": "CPT" } ],"standard_charges":[{"minimum":9.2200,"maximum":28.4900,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.7900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"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":9.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.1700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Chloramphenicol","code_information":[
                 { "code": "82415", "type": "CPT" } ],"standard_charges":[{"minimum":16.8000,"maximum":25.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.5100,"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":16.8000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.7000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Chloride","code_information":[
                 { "code": "82435", "type": "CPT" } ],"standard_charges":[{"minimum":3.9800,"maximum":8.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.5800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"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":3.9800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.3800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Chloride","code_information":[
                 { "code": "82436", "type": "CPT" } ],"standard_charges":[{"minimum":3.4600,"maximum":8.8000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.0300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"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":4.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.0200,"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 Prime Commercial","standard_charge_dollar":7.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.9000,"methodology":"fee schedule"}]}]},{"description":"Assay Other Fluid Chlorides","code_information":[
                 { "code": "82438", "type": "CPT" } ],"standard_charges":[{"minimum":3.4600,"maximum":8.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.2200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.4600,"methodology":"fee schedule"}]}]},{"description":"Test For Chlorohydrocarbons","code_information":[
                 { "code": "82441", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":8.6000,"gross_charge":143.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.3800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.6000,"methodology":"fee schedule"}]}]},{"description":"Assay Bld\/serum Cholesterol","code_information":[
                 { "code": "82465", "type": "CPT" } ],"standard_charges":[{"minimum":3.0500,"maximum":7.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.3500,"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":3.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.2400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Serum Cholinesterase","code_information":[
                 { "code": "82480", "type": "CPT" } ],"standard_charges":[{"minimum":10.7300,"maximum":55.0000,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","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":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.0100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.0100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Rbc Cholinesterase","code_information":[
                 { "code": "82482", "type": "CPT" } ],"standard_charges":[{"minimum":6.8700,"maximum":65.0000,"gross_charge":123.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.3200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":60.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.3200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Chromium","code_information":[
                 { "code": "82495", "type": "CPT" } ],"standard_charges":[{"minimum":28.5400,"maximum":55.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.0500,"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":21.2100,"maximum":100.4900,"gross_charge":216.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":100.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":37.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":38.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":34.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":100.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.3000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.3000,"methodology":"fee schedule"}]}]},{"description":"Collagen Crosslinks","code_information":[
                 { "code": "82523", "type": "CPT" } ],"standard_charges":[{"minimum":16.1500,"maximum":120.0000,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.7700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.7700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.1500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.7700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.1100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.1100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.8200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Copper","code_information":[
                 { "code": "82525", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":45.4900,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.7200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.2100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Cortisol Free","code_information":[
                 { "code": "82530", "type": "CPT" } ],"standard_charges":[{"minimum":30.0000,"maximum":48.0000,"gross_charge":123.7500,"setting":"outpatient","payers_information":[{"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 Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.9400,"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 Advantage Medicare Avantage","standard_charge_dollar":23.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":15.9300,"methodology":"fee schedule"}]}]},{"description":"Total Cortisol","code_information":[
                 { "code": "82533", "type": "CPT" } ],"standard_charges":[{"minimum":11.4100,"maximum":36.0000,"gross_charge":83.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.3500,"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":11.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.7800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.7800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.3500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Creatine","code_information":[
                 { "code": "82540", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":16.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.4100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.4200,"methodology":"fee schedule"}]}]},{"description":"Col Chromotography Qual\/quan","code_information":[
                 { "code": "82542", "type": "CPT" } ],"standard_charges":[{"minimum":25.0000,"maximum":25.4100,"gross_charge":185.0000,"setting":"outpatient","payers_information":[{"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":25.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ck (cpk)","code_information":[
                 { "code": "82550", "type": "CPT" } ],"standard_charges":[{"minimum":4.5600,"maximum":17.0000,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.5600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","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":5.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.1000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.5100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","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":6.2100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cpk In Blood","code_information":[
                 { "code": "82552", "type": "CPT" } ],"standard_charges":[{"minimum":11.5700,"maximum":45.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.7800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"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":11.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.7800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.7100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":12.7800,"methodology":"fee schedule"}]}]},{"description":"Creatine Mb Fraction","code_information":[
                 { "code": "82553", "type": "CPT" } ],"standard_charges":[{"minimum":8.0900,"maximum":33.0000,"gross_charge":83.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.0900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.5500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.5500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":11.0100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Creatinine","code_information":[
                 { "code": "82565", "type": "CPT" } ],"standard_charges":[{"minimum":3.4000,"maximum":10.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"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":6.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":3.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.8900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Creatinine","code_information":[
                 { "code": "82570", "type": "CPT" } ],"standard_charges":[{"minimum":3.6300,"maximum":9.6000,"gross_charge":0.3300,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.0000,"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":4.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","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":4.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"}]}]},{"description":"Creatinine Clearance Test","code_information":[
                 { "code": "82575", "type": "CPT" } ],"standard_charges":[{"minimum":6.6200,"maximum":16.0000,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.1700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.0600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.2000,"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":10.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cryofibrinogen","code_information":[
                 { "code": "82585", "type": "CPT" } ],"standard_charges":[{"minimum":7.4700,"maximum":30.0000,"gross_charge":42.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.4700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"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":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.6800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.4700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cryoglobulin","code_information":[
                 { "code": "82595", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":65.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.9900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":6.1700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cyanide","code_information":[
                 { "code": "82600", "type": "CPT" } ],"standard_charges":[{"minimum":16.7700,"maximum":75.0000,"gross_charge":83.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":71.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.7900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.7900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.7900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":71.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.7900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.5000,"methodology":"fee schedule"}]}]},{"description":"Vitamin B-12","code_information":[
                 { "code": "82607", "type": "CPT" } ],"standard_charges":[{"minimum":10.5600,"maximum":32.0000,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.5600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.0300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.0800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Cystatin C","code_information":[
                 { "code": "82610", "type": "CPT" } ],"standard_charges":[{"minimum":16.2600,"maximum":22.0000,"gross_charge":210.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.2600,"methodology":"fee schedule"}]}]},{"description":"Test For Urine Cystines","code_information":[
                 { "code": "82615", "type": "CPT" } ],"standard_charges":[{"minimum":6.6900,"maximum":29.4900,"gross_charge":166.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.6900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.1500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.4000,"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 Medicare Avantage","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.6900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.5500,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Dehydroepiandrosterone","code_information":[
                 { "code": "82626", "type": "CPT" } ],"standard_charges":[{"minimum":17.6900,"maximum":80.0000,"gross_charge":309.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.6900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.2000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.3100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.2000,"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"}]}]},{"description":"Dehydroepiandrosterone","code_information":[
                 { "code": "82627", "type": "CPT" } ],"standard_charges":[{"minimum":15.5600,"maximum":49.0000,"gross_charge":133.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.8500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":31.0700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":31.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":21.2000,"methodology":"fee schedule"}]}]},{"description":"Vit D 1 25-dihydroxy","code_information":[
                 { "code": "82652", "type": "CPT" } ],"standard_charges":[{"minimum":33.0400,"maximum":191.4900,"gross_charge":196.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":191.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":55.1400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.0400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":55.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":52.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":156.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":38.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":33.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":47.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":191.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":55.1400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":53.7800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":38.5000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":53.7800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":47.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"}]}]},{"description":"El-1 Fecal Qual\/semiq","code_information":[
                 { "code": "82656", "type": "CPT" } ],"standard_charges":[{"minimum":8.8500,"maximum":18.5400,"gross_charge":435.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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":8.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.9700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.9800,"methodology":"fee schedule"}]}]},{"description":"Electrophoretic Test","code_information":[
                 { "code": "82664", "type": "CPT" } ],"standard_charges":[{"minimum":32.7600,"maximum":50.0000,"gross_charge":119.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":48.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":32.7600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":48.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":48.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":48.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":48.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":43.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":48.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":32.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":48.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Erythropoietin","code_information":[
                 { "code": "82668", "type": "CPT" } ],"standard_charges":[{"minimum":16.2400,"maximum":79.4900,"gross_charge":163.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":79.4900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":79.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.0400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Total Estradiol","code_information":[
                 { "code": "82670", "type": "CPT" } ],"standard_charges":[{"minimum":19.5600,"maximum":60.0000,"gross_charge":243.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":57.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":57.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":40.0200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":56.0000,"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":24.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":34.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":41.5600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":39.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.9400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":57.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":40.0200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Estrogen","code_information":[
                 { "code": "82672", "type": "CPT" } ],"standard_charges":[{"minimum":18.7500,"maximum":70.0000,"gross_charge":71.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.6900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":31.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":31.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":31.0700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.0700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.6900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Estriol","code_information":[
                 { "code": "82677", "type": "CPT" } ],"standard_charges":[{"minimum":20.9000,"maximum":50.0000,"gross_charge":253.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.6500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.0600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":34.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.9000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":33.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":34.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.6500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":34.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":33.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Estrone","code_information":[
                 { "code": "82679", "type": "CPT" } ],"standard_charges":[{"minimum":21.5700,"maximum":112.7400,"gross_charge":270.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":30.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":112.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":112.7400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":34.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":34.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.6000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ethylene Glycol","code_information":[
                 { "code": "82693", "type": "CPT" } ],"standard_charges":[{"minimum":20.3000,"maximum":40.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.3000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.3300,"methodology":"fee schedule"}]}]},{"description":"Fats\/lipids Feces Qual","code_information":[
                 { "code": "82705", "type": "CPT" } ],"standard_charges":[{"minimum":4.4000,"maximum":15.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.4000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","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":4.8500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Fatty Acids","code_information":[
                 { "code": "82725", "type": "CPT" } ],"standard_charges":[{"minimum":12.6900,"maximum":37.0000,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.1400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.6900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.6000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.6900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.6900,"methodology":"fee schedule"}]}]},{"description":"Long Chain Fatty Acids","code_information":[
                 { "code": "82726", "type": "CPT" } ],"standard_charges":[{"minimum":15.6000,"maximum":300.0000,"gross_charge":318.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":206.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.6000,"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 Advantage Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ferritin","code_information":[
                 { "code": "82728", "type": "CPT" } ],"standard_charges":[{"minimum":9.5400,"maximum":32.0000,"gross_charge":53.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.5400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.5100,"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":11.7800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.0300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.6300,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"}]}]},{"description":"Amino Acids Single Quant","code_information":[
                 { "code": "82731", "type": "CPT" } ],"standard_charges":[{"minimum":30.0000,"maximum":175.0000,"gross_charge":195.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":55.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":90.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":61.4200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":61.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":61.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":90.1100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":89.9900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":90.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":90.1100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":89.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":90.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":90.1100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":90.1100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Fluoride","code_information":[
                 { "code": "82735", "type": "CPT" } ],"standard_charges":[{"minimum":25.2600,"maximum":145.0000,"gross_charge":143.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.2600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.9100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Folic Acid Serum","code_information":[
                 { "code": "82746", "type": "CPT" } ],"standard_charges":[{"minimum":9.7500,"maximum":32.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.2900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"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":12.7100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Folic Acid Rbc","code_information":[
                 { "code": "82747", "type": "CPT" } ],"standard_charges":[{"minimum":16.6700,"maximum":61.4200,"gross_charge":85.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":61.4200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Semen Fructose","code_information":[
                 { "code": "82757", "type": "CPT" } ],"standard_charges":[{"minimum":14.9800,"maximum":63.0000,"gross_charge":220.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.8400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":62.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":63.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":62.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.2400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.8400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","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":16.5300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Rbc Galactokinase","code_information":[
                 { "code": "82759", "type": "CPT" } ],"standard_charges":[{"minimum":17.0000,"maximum":30.7700,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":29.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.0100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Galactose","code_information":[
                 { "code": "82760", "type": "CPT" } ],"standard_charges":[{"minimum":9.6700,"maximum":16.0400,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.0400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"}]}]},{"description":"Assay Galactose Transferase","code_information":[
                 { "code": "82775", "type": "CPT" } ],"standard_charges":[{"minimum":28.6900,"maximum":30.1700,"gross_charge":185.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.1700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.1700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.1700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.6900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.4300,"methodology":"fee schedule"}]}]},{"description":"Assay Iga\/igd\/igg\/igm Each","code_information":[
                 { "code": "82784", "type": "CPT" } ],"standard_charges":[{"minimum":6.5100,"maximum":30.0000,"gross_charge":28.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.5100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.9900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.0900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.9900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ige","code_information":[
                 { "code": "82785", "type": "CPT" } ],"standard_charges":[{"minimum":14.2200,"maximum":35.0000,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.5900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.4600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"}]}]},{"description":"Igg 1 2 3 Or 4 Each","code_information":[
                 { "code": "82787", "type": "CPT" } ],"standard_charges":[{"minimum":9.8300,"maximum":95.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.9900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.9900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.2000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.8300,"methodology":"fee schedule"}]}]},{"description":"Blood Gases Any Combination","code_information":[
                 { "code": "82803", "type": "CPT" } ],"standard_charges":[{"minimum":18.2500,"maximum":65.0000,"gross_charge":116.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.7100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","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":18.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.7700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Gastrin","code_information":[
                 { "code": "82941", "type": "CPT" } ],"standard_charges":[{"minimum":15.2400,"maximum":58.4900,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":58.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.2400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":26.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":58.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.2600,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.6200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.2600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Glucagon","code_information":[
                 { "code": "82943", "type": "CPT" } ],"standard_charges":[{"minimum":12.3500,"maximum":92.9900,"gross_charge":229.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":92.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":92.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.6200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.2900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.9700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.6200,"methodology":"fee schedule"}]}]},{"description":"Glucose Other Fluid","code_information":[
                 { "code": "82945", "type": "CPT" } ],"standard_charges":[{"minimum":2.7500,"maximum":15.0000,"gross_charge":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.9300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.7500,"methodology":"fee schedule"}]}]},{"description":"Assay Glucose Blood Quant","code_information":[
                 { "code": "82947", "type": "CPT" } ],"standard_charges":[{"minimum":5.6200,"maximum":6.1700,"gross_charge":13.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.7500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.9300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.8400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":6.0000,"methodology":"fee schedule"}]}]},{"description":"Reagent Strip\/blood Glucose","code_information":[
                 { "code": "82948", "type": "CPT" } ],"standard_charges":[{"minimum":3.0200,"maximum":5.0000,"gross_charge":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.0200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.0200,"methodology":"fee schedule"}]}]},{"description":"Glucose Test","code_information":[
                 { "code": "82950", "type": "CPT" } ],"standard_charges":[{"minimum":4.7500,"maximum":8.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8000,"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 Commercial","standard_charge_dollar":8.0000,"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":3.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross 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":"Blue Cross","plan_name":"Blue Cross 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":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.7500,"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 Medicare Avantage","standard_charge_dollar":4.7500,"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":4.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.5300,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"}]}]},{"description":"Glucose Tolerance Test (gtt)","code_information":[
                 { "code": "82951", "type": "CPT" } ],"standard_charges":[{"minimum":11.1200,"maximum":30.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Gtt-added Samples","code_information":[
                 { "code": "82952", "type": "CPT" } ],"standard_charges":[{"minimum":1.9500,"maximum":5.4800,"gross_charge":10.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":1.9500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":1.9500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.9200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","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":1.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.1200,"methodology":"fee schedule"}]}]},{"description":"Assay Of G6pd Enzyme","code_information":[
                 { "code": "82955", "type": "CPT" } ],"standard_charges":[{"minimum":8.3800,"maximum":30.0000,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.8900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.2500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Glucosidase","code_information":[
                 { "code": "82963", "type": "CPT" } ],"standard_charges":[{"minimum":29.2600,"maximum":30.7700,"gross_charge":305.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":29.2600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.0100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.7700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ggt","code_information":[
                 { "code": "82977", "type": "CPT" } ],"standard_charges":[{"minimum":4.9800,"maximum":16.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"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":6.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","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":4.9800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Glycated Protein","code_information":[
                 { "code": "82985", "type": "CPT" } ],"standard_charges":[{"minimum":13.0300,"maximum":25.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.9900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.0300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.9900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.3800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Gonadotropin (fsh)","code_information":[
                 { "code": "83001", "type": "CPT" } ],"standard_charges":[{"minimum":13.0100,"maximum":30.0000,"gross_charge":83.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.6200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.5800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.6200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":22.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.5800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Gonadotropin (lh)","code_information":[
                 { "code": "83002", "type": "CPT" } ],"standard_charges":[{"minimum":12.9600,"maximum":32.0000,"gross_charge":74.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.9600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":22.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.5400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.8800,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Growth Hormone (hgh)","code_information":[
                 { "code": "83003", "type": "CPT" } ],"standard_charges":[{"minimum":14.4100,"maximum":55.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"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":22.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.2900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Haptoglobin Quant","code_information":[
                 { "code": "83010", "type": "CPT" } ],"standard_charges":[{"minimum":9.5900,"maximum":32.0000,"gross_charge":83.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.0200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.0200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.0200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.5800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Heavy Metal Qual Any Number","code_information":[
                 { "code": "83015", "type": "CPT" } ],"standard_charges":[{"minimum":16.2800,"maximum":40.0000,"gross_charge":179.0000,"setting":"outpatient","payers_information":[{"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":17.9600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.9600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.9700,"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 Health Maintenance Organization","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.9700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":17.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.9600,"methodology":"fee schedule"}]}]},{"description":"Heavy Metal Quan Each Nes","code_information":[
                 { "code": "83018", "type": "CPT" } ],"standard_charges":[{"minimum":27.1200,"maximum":80.0000,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9100,"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 Commercial","standard_charge_dollar":30.0000,"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 Commercial","standard_charge_dollar":30.0000,"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 Commercial","standard_charge_dollar":30.0000,"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 Commercial","standard_charge_dollar":30.0000,"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 Commercial","standard_charge_dollar":30.0000,"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":20.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Electrophoresis","code_information":[
                 { "code": "83020", "type": "CPT" } ],"standard_charges":[{"minimum":11.1200,"maximum":28.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.6500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":12.2700,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Chromotography","code_information":[
                 { "code": "83021", "type": "CPT" } ],"standard_charges":[{"minimum":25.8600,"maximum":25.8600,"gross_charge":53.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.8600,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Ftl F Assay Qual","code_information":[
                 { "code": "83033", "type": "CPT" } ],"standard_charges":[{"minimum":5.0000,"maximum":17.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.0000,"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":5.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Glycosylated A1c","code_information":[
                 { "code": "83036", "type": "CPT" } ],"standard_charges":[{"minimum":6.8000,"maximum":17.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.9000,"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":8.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","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":9.2500,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Urine","code_information":[
                 { "code": "83069", "type": "CPT" } ],"standard_charges":[{"minimum":5.0000,"maximum":10.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.3700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.5100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Hemosiderin Qual","code_information":[
                 { "code": "83070", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":25.0000,"gross_charge":49.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of B Hexosaminidase Ea","code_information":[
                 { "code": "83080", "type": "CPT" } ],"standard_charges":[{"minimum":9.7500,"maximum":30.0000,"gross_charge":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.6400,"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 Advantage Medicare Avantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Histamine","code_information":[
                 { "code": "83088", "type": "CPT" } ],"standard_charges":[{"minimum":25.5200,"maximum":150.0000,"gross_charge":509.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":42.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":42.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":42.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":42.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":41.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":42.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":41.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":42.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":42.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.1600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Homocystine","code_information":[
                 { "code": "83090", "type": "CPT" } ],"standard_charges":[{"minimum":14.4800,"maximum":100.8000,"gross_charge":207.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.5700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.5800,"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 Advantage Medicare Avantage","standard_charge_dollar":20.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.9200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.5700,"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":45.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.1600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Homovanillic Acid","code_information":[
                 { "code": "83150", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":62.7400,"gross_charge":232.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":62.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":62.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.0400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","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":18.4500,"methodology":"fee schedule"}]}]},{"description":"Asy Hydroxycorticosteroids17","code_information":[
                 { "code": "83491", "type": "CPT" } ],"standard_charges":[{"minimum":15.1500,"maximum":25.0900,"gross_charge":58.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.9600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.7100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.1500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.7100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.0900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.4700,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of 5-hiaa","code_information":[
                 { "code": "83497", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":40.0000,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.2900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.1400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.2900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"}]}]},{"description":"Asy Hydroxyprogesterone 17-d","code_information":[
                 { "code": "83498", "type": "CPT" } ],"standard_charges":[{"minimum":19.0200,"maximum":98.0000,"gross_charge":246.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":97.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":38.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":38.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":38.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":38.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":37.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":38.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":97.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":37.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.9100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":38.9100,"methodology":"fee schedule"}]}]},{"description":"Assay Free Hydroxyproline","code_information":[
                 { "code": "83500", "type": "CPT" } ],"standard_charges":[{"minimum":19.5700,"maximum":129.2400,"gross_charge":144.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":32.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.4400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":129.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.5700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.4400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":32.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":129.2400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":31.6500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.6500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":32.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.6000,"methodology":"fee schedule"}]}]},{"description":"Assay Total Hydroxyproline","code_information":[
                 { "code": "83505", "type": "CPT" } ],"standard_charges":[{"minimum":21.0100,"maximum":80.0000,"gross_charge":333.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":34.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.0100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":33.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":34.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.1800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":34.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":33.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"}]}]},{"description":"Fluorescent Antibody Screen","code_information":[
                 { "code": "83516", "type": "CPT" } ],"standard_charges":[{"minimum":11.4900,"maximum":25.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.8400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.0700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.0700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.0700,"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 Medicare Avantage","standard_charge_dollar":11.5300,"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 Medicare Avantage","standard_charge_dollar":11.5300,"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":9.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.6600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime 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":12.6600,"methodology":"fee schedule"}]}]},{"description":"Ria Nonantibody","code_information":[
                 { "code": "83519", "type": "CPT" } ],"standard_charges":[{"minimum":18.4000,"maximum":100.0000,"gross_charge":252.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0100,"methodology":"fee schedule"}]}]},{"description":"El-1 Fecal Qual\/semiq","code_information":[
                 { "code": "83520", "type": "CPT" } ],"standard_charges":[{"minimum":8.8500,"maximum":18.5400,"gross_charge":435.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.9500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":265.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Insulin","code_information":[
                 { "code": "83525", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":28.0000,"gross_charge":74.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","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":"Champva","plan_name":"Champva Commercial","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":"Champva","plan_name":"Champva Commercial","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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.8800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.4900,"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 Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":"Veteranos","plan_name":"Veteranos 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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.0900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.9000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.0000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.0000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Insulin","code_information":[
                 { "code": "83527", "type": "CPT" } ],"standard_charges":[{"minimum":17.6400,"maximum":25.0000,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.6400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0900,"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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Iron","code_information":[
                 { "code": "83540", "type": "CPT" } ],"standard_charges":[{"minimum":4.5300,"maximum":9.2800,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.8200,"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":5.5900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Iron Binding Test","code_information":[
                 { "code": "83550", "type": "CPT" } ],"standard_charges":[{"minimum":6.1200,"maximum":17.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.1200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.2100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","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":8.3400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ketogenic Steroids","code_information":[
                 { "code": "83582", "type": "CPT" } ],"standard_charges":[{"minimum":12.2500,"maximum":56.4900,"gross_charge":44.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":56.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":56.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.8000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.3000,"methodology":"fee schedule"}]}]},{"description":"Assay 17- Ketosteroids","code_information":[
                 { "code": "83586", "type": "CPT" } ],"standard_charges":[{"minimum":11.0600,"maximum":17.8900,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.2100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.8900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lactic Acid","code_information":[
                 { "code": "83605", "type": "CPT" } ],"standard_charges":[{"minimum":8.1500,"maximum":38.4900,"gross_charge":141.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"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":9.2300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.9200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.9200,"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":11.6400,"methodology":"fee schedule"}]}]},{"description":"Lactate (ld) (ldh) Enzyme","code_information":[
                 { "code": "83615", "type": "CPT" } ],"standard_charges":[{"minimum":4.2300,"maximum":8.6400,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.2700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.0400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","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":5.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ldh Enzymes","code_information":[
                 { "code": "83625", "type": "CPT" } ],"standard_charges":[{"minimum":8.9500,"maximum":36.0000,"gross_charge":44.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.9500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.8800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.2000,"methodology":"fee schedule"}]}]},{"description":"Lactoferrin Fecal (quant)","code_information":[
                 { "code": "83630", "type": "CPT" } ],"standard_charges":[{"minimum":28.1100,"maximum":28.1100,"gross_charge":280.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.1100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.1100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lead","code_information":[
                 { "code": "83655", "type": "CPT" } ],"standard_charges":[{"minimum":10.4700,"maximum":38.0000,"gross_charge":105.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":31.0000,"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":17.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.0300,"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 Medicare Avantage","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.0100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.3400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.9100,"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":31.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"}]}]},{"description":"L\/s Ratio Fetal Lung","code_information":[
                 { "code": "83661", "type": "CPT" } ],"standard_charges":[{"minimum":19.0000,"maximum":75.0000,"gross_charge":264.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":31.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":31.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.7100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":31.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.9700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lap Enzyme","code_information":[
                 { "code": "83670", "type": "CPT" } ],"standard_charges":[{"minimum":7.9200,"maximum":48.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":46.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.9200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":46.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.2500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lipase","code_information":[
                 { "code": "83690", "type": "CPT" } ],"standard_charges":[{"minimum":4.8200,"maximum":9.6200,"gross_charge":39.0000,"setting":"outpatient","payers_information":[{"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":4.8200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.4900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.5700,"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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lipoprotein(a)","code_information":[
                 { "code": "83695", "type": "CPT" } ],"standard_charges":[{"minimum":14.1000,"maximum":16.1200,"gross_charge":113.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.1000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lipoprotein(a)","code_information":[
                 { "code": "83700", "type": "CPT" } ],"standard_charges":[{"minimum":14.1000,"maximum":16.1200,"gross_charge":113.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.1200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.1200,"methodology":"fee schedule"}]}]},{"description":"Lipoprotein Bld Hr Fraction","code_information":[
                 { "code": "83701", "type": "CPT" } ],"standard_charges":[{"minimum":23.6700,"maximum":90.0000,"gross_charge":330.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.9300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":34.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":34.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":34.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.6700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lipoprotein","code_information":[
                 { "code": "83718", "type": "CPT" } ],"standard_charges":[{"minimum":5.7300,"maximum":19.0000,"gross_charge":47.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.7300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.7300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.0800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.4400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.7300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Lipoprotein","code_information":[
                 { "code": "83719", "type": "CPT" } ],"standard_charges":[{"minimum":8.9300,"maximum":16.6600,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.6600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Lipoprotein","code_information":[
                 { "code": "83721", "type": "CPT" } ],"standard_charges":[{"minimum":11.7800,"maximum":30.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","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":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.7800,"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":13.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lrh Hormone","code_information":[
                 { "code": "83727", "type": "CPT" } ],"standard_charges":[{"minimum":14.8500,"maximum":25.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.3900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.3900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Magnesium","code_information":[
                 { "code": "83735", "type": "CPT" } ],"standard_charges":[{"minimum":5.7900,"maximum":12.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.3800,"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 Medicare Avantage","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.7900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.9600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Manganese","code_information":[
                 { "code": "83785", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":40.0000,"gross_charge":212.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":34.3600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":34.3600,"methodology":"fee schedule"}]}]},{"description":"Mass Spectrometry Qual\/quan","code_information":[
                 { "code": "83789", "type": "CPT" } ],"standard_charges":[{"minimum":24.1100,"maximum":25.4100,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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 Mercury","code_information":[
                 { "code": "83825", "type": "CPT" } ],"standard_charges":[{"minimum":14.0500,"maximum":70.0000,"gross_charge":179.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.2900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":55.8400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":54.4400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":54.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":55.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.7200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":54.4400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Metanephrines","code_information":[
                 { "code": "83835", "type": "CPT" } ],"standard_charges":[{"minimum":16.9400,"maximum":110.0000,"gross_charge":275.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":69.7400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":69.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":33.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":69.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":69.7400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"}]}]},{"description":"Mucopolysaccharides","code_information":[
                 { "code": "83864", "type": "CPT" } ],"standard_charges":[{"minimum":18.9900,"maximum":30.0000,"gross_charge":325.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.9400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":22.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.8200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.9400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.9900,"methodology":"fee schedule"}]}]},{"description":"Assay Synovial Fluid Mucin","code_information":[
                 { "code": "83872", "type": "CPT" } ],"standard_charges":[{"minimum":1.5000,"maximum":12.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.0900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Csf Protein","code_information":[
                 { "code": "83873", "type": "CPT" } ],"standard_charges":[{"minimum":12.0400,"maximum":87.2400,"gross_charge":166.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":87.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.8700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":87.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.4100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.4100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Myoglobin","code_information":[
                 { "code": "83874", "type": "CPT" } ],"standard_charges":[{"minimum":9.0400,"maximum":48.0000,"gross_charge":90.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.0400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.1700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.0600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.3100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Natriuretic Peptide","code_information":[
                 { "code": "83880", "type": "CPT" } ],"standard_charges":[{"minimum":27.4800,"maximum":90.0000,"gross_charge":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":27.4800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":48.6200,"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":29.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":48.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":48.6200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":47.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":36.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":48.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":39.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":47.4300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":36.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Nephelometry Not Spec","code_information":[
                 { "code": "83883", "type": "CPT" } ],"standard_charges":[{"minimum":12.9600,"maximum":16.7900,"gross_charge":114.0000,"setting":"outpatient","payers_information":[{"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":12.9600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.7900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Nickel","code_information":[
                 { "code": "83885", "type": "CPT" } ],"standard_charges":[{"minimum":29.3300,"maximum":120.0000,"gross_charge":148.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.3700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":34.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"F5 Gene","code_information":[
                 { "code": "83890", "type": "CPT" } ],"standard_charges":[{"minimum":5.6800,"maximum":100.0000,"gross_charge":220.1100,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.6800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Nucleotidase","code_information":[
                 { "code": "83915", "type": "CPT" } ],"standard_charges":[{"minimum":9.6400,"maximum":45.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":42.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.6300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":38.0000,"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":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":42.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.5800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.5800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.9800,"methodology":"fee schedule"}]}]},{"description":"Oligoclonal Bands","code_information":[
                 { "code": "83916", "type": "CPT" } ],"standard_charges":[{"minimum":19.1700,"maximum":52.0000,"gross_charge":135.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.1700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.8000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.0900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.1700,"methodology":"fee schedule"}]}]},{"description":"Organic Acids Total Quant","code_information":[
                 { "code": "83918", "type": "CPT" } ],"standard_charges":[{"minimum":20.1700,"maximum":135.0000,"gross_charge":540.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":128.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":128.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.5200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare 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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":128.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":128.0000,"methodology":"fee schedule"}]}]},{"description":"Organic Acids Qual Each","code_information":[
                 { "code": "83919", "type": "CPT" } ],"standard_charges":[{"minimum":14.2200,"maximum":225.0000,"gross_charge":289.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.0000,"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":26.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"}]}]},{"description":"Organic Acid Single Quant","code_information":[
                 { "code": "83921", "type": "CPT" } ],"standard_charges":[{"minimum":21.2100,"maximum":132.0000,"gross_charge":175.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":22.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":132.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.7500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Osmolality","code_information":[
                 { "code": "83930", "type": "CPT" } ],"standard_charges":[{"minimum":4.6300,"maximum":20.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.6100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.3100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.2400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Osmolality","code_information":[
                 { "code": "83935", "type": "CPT" } ],"standard_charges":[{"minimum":4.7700,"maximum":17.6000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.7700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.7600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.8900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.6000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC 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":6.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.7600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Osteocalcin","code_information":[
                 { "code": "83937", "type": "CPT" } ],"standard_charges":[{"minimum":25.8000,"maximum":98.7500,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":98.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":93.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.4600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":42.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":42.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":42.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":42.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":98.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":42.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":98.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.4600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":41.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":42.7600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":41.7100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":42.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":93.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.4600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Oxalate","code_information":[
                 { "code": "83945", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":32.0000,"gross_charge":69.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.4500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.7800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Parathormone","code_information":[
                 { "code": "83970", "type": "CPT" } ],"standard_charges":[{"minimum":41.2800,"maximum":104.0000,"gross_charge":160.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.9000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":58.0800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":58.0800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":59.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":41.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":41.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":41.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":41.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":41.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":41.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":35.6700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":104.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":104.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":59.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":58.0800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":58.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":61.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":57.6700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":57.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":39.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Ph Body Fluid Nos","code_information":[
                 { "code": "83986", "type": "CPT" } ],"standard_charges":[{"minimum":1.9500,"maximum":5.0000,"gross_charge":10.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.5100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":1.9500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.7900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.7900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":1.9500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Pku","code_information":[
                 { "code": "84030", "type": "CPT" } ],"standard_charges":[{"minimum":4.7500,"maximum":144.7000,"gross_charge":26.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.4900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":144.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.6900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.2400,"methodology":"fee schedule"}]}]},{"description":"Assay Acid Phosphatase","code_information":[
                 { "code": "84060", "type": "CPT" } ],"standard_charges":[{"minimum":6.3800,"maximum":15.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.0400,"methodology":"fee schedule"}]}]},{"description":"Assay Prostate Phosphatase","code_information":[
                 { "code": "84066", "type": "CPT" } ],"standard_charges":[{"minimum":6.7600,"maximum":20.0000,"gross_charge":31.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.3500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.2100,"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 Prime Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.6600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.2100,"methodology":"fee schedule"}]}]},{"description":"Assay Alkaline Phosphatase","code_information":[
                 { "code": "84075", "type": "CPT" } ],"standard_charges":[{"minimum":3.6300,"maximum":8.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"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":4.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"}]}]},{"description":"Assay Alkaline Phosphatase","code_information":[
                 { "code": "84078", "type": "CPT" } ],"standard_charges":[{"minimum":9.9500,"maximum":15.0000,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.9500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.4600,"methodology":"fee schedule"}]}]},{"description":"Assay Alkaline Phosphatases","code_information":[
                 { "code": "84080", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":65.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Phosphatidylglycerol","code_information":[
                 { "code": "84081", "type": "CPT" } ],"standard_charges":[{"minimum":14.2700,"maximum":50.0000,"gross_charge":130.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.7500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Phosphorus","code_information":[
                 { "code": "84100", "type": "CPT" } ],"standard_charges":[{"minimum":3.3200,"maximum":7.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.7900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.7900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC 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":4.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Phosphorus","code_information":[
                 { "code": "84105", "type": "CPT" } ],"standard_charges":[{"minimum":4.0500,"maximum":8.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.0500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Porphobilinogen","code_information":[
                 { "code": "84110", "type": "CPT" } ],"standard_charges":[{"minimum":7.2900,"maximum":25.0000,"gross_charge":17.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Porphyrins","code_information":[
                 { "code": "84120", "type": "CPT" } ],"standard_charges":[{"minimum":14.0300,"maximum":63.4900,"gross_charge":207.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.0300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":37.7600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":37.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.0300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.1000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Feces Porphyrins","code_information":[
                 { "code": "84126", "type": "CPT" } ],"standard_charges":[{"minimum":27.3800,"maximum":38.0000,"gross_charge":104.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.4800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":37.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":27.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":36.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.5900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.4800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":37.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serum Potassium","code_information":[
                 { "code": "84132", "type": "CPT" } ],"standard_charges":[{"minimum":3.3300,"maximum":10.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"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":3.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.5800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.4200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.5800,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.3800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Potassium","code_information":[
                 { "code": "84133", "type": "CPT" } ],"standard_charges":[{"minimum":3.7200,"maximum":9.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.1000,"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":3.7200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"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 Advantage Medicare Avantage","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.7300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Prealbumin","code_information":[
                 { "code": "84134", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":34.0000,"gross_charge":126.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.0000,"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":12.6100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","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":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.3800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.9100,"methodology":"fee schedule"}]}]},{"description":"Assay Of 17-hydroxypregneno","code_information":[
                 { "code": "84143", "type": "CPT" } ],"standard_charges":[{"minimum":19.7100,"maximum":57.0000,"gross_charge":168.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":56.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.6900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":53.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":27.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.7100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":32.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":57.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":31.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":32.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":56.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.9700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":32.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.6900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.8900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":53.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Progesterone","code_information":[
                 { "code": "84144", "type": "CPT" } ],"standard_charges":[{"minimum":18.0300,"maximum":65.0000,"gross_charge":116.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.1500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.1500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.8900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Prolactin","code_information":[
                 { "code": "84146", "type": "CPT" } ],"standard_charges":[{"minimum":13.5700,"maximum":37.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.7600,"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":13.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.7600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Prostaglandin","code_information":[
                 { "code": "84150", "type": "CPT" } ],"standard_charges":[{"minimum":34.0100,"maximum":35.7500,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":34.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":34.0100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":34.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.7500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Psa Complexed","code_information":[
                 { "code": "84152", "type": "CPT" } ],"standard_charges":[{"minimum":18.3900,"maximum":100.0000,"gross_charge":166.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.3400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":22.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.7000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Psa Total","code_information":[
                 { "code": "84153", "type": "CPT" } ],"standard_charges":[{"minimum":12.8700,"maximum":35.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":22.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.3600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.3400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Psa Free","code_information":[
                 { "code": "84154", "type": "CPT" } ],"standard_charges":[{"minimum":15.9000,"maximum":35.0000,"gross_charge":160.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":22.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.3400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Protein Serum","code_information":[
                 { "code": "84155", "type": "CPT" } ],"standard_charges":[{"minimum":2.5700,"maximum":8.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.5700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.6700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.6700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":6.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Protein Urine","code_information":[
                 { "code": "84156", "type": "CPT" } ],"standard_charges":[{"minimum":2.5700,"maximum":30.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.6700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.1700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Protein Other","code_information":[
                 { "code": "84157", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":10.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":6.0000,"methodology":"fee schedule"}]}]},{"description":"Pappa Serum","code_information":[
                 { "code": "84163", "type": "CPT" } ],"standard_charges":[{"minimum":13.0100,"maximum":150.0000,"gross_charge":180.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.3600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.3600,"methodology":"fee schedule"}]}]},{"description":"Protein E-phoresis Serum","code_information":[
                 { "code": "84165", "type": "CPT" } ],"standard_charges":[{"minimum":9.2800,"maximum":24.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.7300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":14.3500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"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":9.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC 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":10.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"}]}]},{"description":"Protein E-phoresis\/urine\/csf","code_information":[
                 { "code": "84166", "type": "CPT" } ],"standard_charges":[{"minimum":12.4800,"maximum":50.0000,"gross_charge":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":43.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.5400,"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 Commercial","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.9200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.9200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.0000,"methodology":"fee schedule"}]}]},{"description":"Western Blot Test","code_information":[
                 { "code": "84181", "type": "CPT" } ],"standard_charges":[{"minimum":23.9700,"maximum":24.0000,"gross_charge":213.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.0900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.2100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.0900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.8000,"methodology":"fee schedule"}]}]},{"description":"Assay Rbc Protoporphyrin","code_information":[
                 { "code": "84202", "type": "CPT" } ],"standard_charges":[{"minimum":12.4000,"maximum":40.0000,"gross_charge":119.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.1900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.0500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.0500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Proinsulin","code_information":[
                 { "code": "84206", "type": "CPT" } ],"standard_charges":[{"minimum":24.2700,"maximum":235.0000,"gross_charge":260.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.6900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":235.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.5200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.8900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.5200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin B-6","code_information":[
                 { "code": "84207", "type": "CPT" } ],"standard_charges":[{"minimum":19.6700,"maximum":149.7400,"gross_charge":248.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":40.2400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":149.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.6700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":40.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":40.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":40.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":40.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":40.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":40.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":149.7400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":39.2500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":39.2500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":26.7900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Pyruvate","code_information":[
                 { "code": "84210", "type": "CPT" } ],"standard_charges":[{"minimum":10.1400,"maximum":57.2400,"gross_charge":109.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":54.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.1400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":57.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.1400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":57.2400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":54.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.8300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Pyruvate Kinase","code_information":[
                 { "code": "84220", "type": "CPT" } ],"standard_charges":[{"minimum":12.8500,"maximum":15.0000,"gross_charge":123.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.8500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.1800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Quinine","code_information":[
                 { "code": "84228", "type": "CPT" } ],"standard_charges":[{"minimum":15.8500,"maximum":25.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Renin","code_information":[
                 { "code": "84244", "type": "CPT" } ],"standard_charges":[{"minimum":16.7800,"maximum":80.7400,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.5100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":31.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":31.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":80.7400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.7300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.5100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.7300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":31.5100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin B-2","code_information":[
                 { "code": "84252", "type": "CPT" } ],"standard_charges":[{"minimum":20.2400,"maximum":225.0000,"gross_charge":247.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.2400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.9900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Selenium","code_information":[
                 { "code": "84255", "type": "CPT" } ],"standard_charges":[{"minimum":17.8700,"maximum":150.0000,"gross_charge":187.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":34.7800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.6700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.6700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serotonin","code_information":[
                 { "code": "84260", "type": "CPT" } ],"standard_charges":[{"minimum":23.6300,"maximum":137.2400,"gross_charge":187.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.6300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":137.2400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":112.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":43.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":43.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":33.7600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sex Hormone Globul","code_information":[
                 { "code": "84270", "type": "CPT" } ],"standard_charges":[{"minimum":14.6300,"maximum":60.0000,"gross_charge":108.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":31.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.7800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":31.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":31.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.3600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.6300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sialic Acid","code_information":[
                 { "code": "84275", "type": "CPT" } ],"standard_charges":[{"minimum":18.3000,"maximum":60.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.3000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.2400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serum Sodium","code_information":[
                 { "code": "84295", "type": "CPT" } ],"standard_charges":[{"minimum":4.1600,"maximum":8.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"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":4.5900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.7200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.7200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8900,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.5900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Sodium","code_information":[
                 { "code": "84300", "type": "CPT" } ],"standard_charges":[{"minimum":3.5400,"maximum":8.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sweat Sodium","code_information":[
                 { "code": "84302", "type": "CPT" } ],"standard_charges":[{"minimum":6.0000,"maximum":25.4700,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.7900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.7900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Somatomedin","code_information":[
                 { "code": "84305", "type": "CPT" } ],"standard_charges":[{"minimum":18.3800,"maximum":160.0000,"gross_charge":356.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":134.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":26.0600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.4500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":141.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.3800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":26.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":141.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.7000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.7000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":134.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.0600,"methodology":"fee schedule"}]}]},{"description":"Spectrophotometry","code_information":[
                 { "code": "84311", "type": "CPT" } ],"standard_charges":[{"minimum":6.0400,"maximum":180.0000,"gross_charge":330.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":43.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":43.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":43.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":43.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":43.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":43.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":144.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.0400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":43.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":43.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":43.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":43.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":43.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":43.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.7700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.6600,"methodology":"fee schedule"}]}]},{"description":"Body Fluid Specific Gravity","code_information":[
                 { "code": "84315", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":4.0000,"gross_charge":4.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.5900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.5900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.5900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":3.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.4100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"}]}]},{"description":"Chromatogram Assay Sugars","code_information":[
                 { "code": "84375", "type": "CPT" } ],"standard_charges":[{"minimum":26.7100,"maximum":30.0000,"gross_charge":182.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.0800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":26.7100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.0800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.0800,"methodology":"fee schedule"}]}]},{"description":"Sugars Multiple Qual","code_information":[
                 { "code": "84377", "type": "CPT" } ],"standard_charges":[{"minimum":7.5000,"maximum":10.0000,"gross_charge":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.8800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Sulfate","code_information":[
                 { "code": "84392", "type": "CPT" } ],"standard_charges":[{"minimum":5.5400,"maximum":55.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.5400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Free Testosterone","code_information":[
                 { "code": "84402", "type": "CPT" } ],"standard_charges":[{"minimum":17.8300,"maximum":80.0000,"gross_charge":380.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":63.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.4700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.0200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":63.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.8700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.5700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.4700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.2800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Total Testosterone","code_information":[
                 { "code": "84403", "type": "CPT" } ],"standard_charges":[{"minimum":18.0700,"maximum":48.0000,"gross_charge":119.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":37.6400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":38.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":37.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.8100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.8100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":36.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.6200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin B-1","code_information":[
                 { "code": "84425", "type": "CPT" } ],"standard_charges":[{"minimum":16.2000,"maximum":80.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.4100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.1400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.6700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.1400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Thyroglobulin","code_information":[
                 { "code": "84432", "type": "CPT" } ],"standard_charges":[{"minimum":11.2400,"maximum":140.0000,"gross_charge":82.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.0100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Total Thyroxine","code_information":[
                 { "code": "84436", "type": "CPT" } ],"standard_charges":[{"minimum":4.8100,"maximum":20.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.8100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.8400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.9400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.6100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.8700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.5500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Neonatal Thyroxine","code_information":[
                 { "code": "84437", "type": "CPT" } ],"standard_charges":[{"minimum":5.5900,"maximum":15.4900,"gross_charge":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":6.8800,"maximum":24.0000,"gross_charge":57.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.7900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.4100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.6000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Thyroid Activity","code_information":[
                 { "code": "84442", "type": "CPT" } ],"standard_charges":[{"minimum":12.7800,"maximum":59.7400,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":59.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":59.7400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.6600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Thyroid Stim Hormone","code_information":[
                 { "code": "84443", "type": "CPT" } ],"standard_charges":[{"minimum":14.5300,"maximum":30.0000,"gross_charge":83.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"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 Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.0600,"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":14.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8000,"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":22.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.9900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":16.0200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Tsi Globulin","code_information":[
                 { "code": "84445", "type": "CPT" } ],"standard_charges":[{"minimum":43.9500,"maximum":200.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":48.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":72.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":72.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":72.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":43.9500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":71.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":62.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":48.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":72.8300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":71.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":48.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin E","code_information":[
                 { "code": "84446", "type": "CPT" } ],"standard_charges":[{"minimum":12.2600,"maximum":65.0000,"gross_charge":160.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":62.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":59.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":62.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.8100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":59.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.5200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Transcortin","code_information":[
                 { "code": "84449", "type": "CPT" } ],"standard_charges":[{"minimum":24.5200,"maximum":30.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.1500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.5200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.1500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.1500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.7800,"methodology":"fee schedule"}]}]},{"description":"Transferase (ast) (sgot)","code_information":[
                 { "code": "84450", "type": "CPT" } ],"standard_charges":[{"minimum":3.6300,"maximum":8.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"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":3.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.4100,"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":4.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Alanine Amino (alt) (sgpt)","code_information":[
                 { "code": "84460", "type": "CPT" } ],"standard_charges":[{"minimum":3.7100,"maximum":8.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"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":3.7100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.5800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.5800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.0500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.0500,"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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.5800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Transferrin","code_information":[
                 { "code": "84466", "type": "CPT" } ],"standard_charges":[{"minimum":8.9300,"maximum":32.0000,"gross_charge":42.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"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":8.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":12.1700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Triglycerides","code_information":[
                 { "code": "84478", "type": "CPT" } ],"standard_charges":[{"minimum":4.0200,"maximum":15.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.2400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.9600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime 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":5.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.2400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Thyroid (t3 Or T4)","code_information":[
                 { "code": "84479", "type": "CPT" } ],"standard_charges":[{"minimum":4.5300,"maximum":13.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.5300,"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":5.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":6.1700,"methodology":"fee schedule"}]}]},{"description":"Assay Triiodothyronine (t3)","code_information":[
                 { "code": "84480", "type": "CPT" } ],"standard_charges":[{"minimum":9.9300,"maximum":36.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.9300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.2600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.4000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"}]}]},{"description":"Free Assay (ft-3)","code_information":[
                 { "code": "84481", "type": "CPT" } ],"standard_charges":[{"minimum":11.8600,"maximum":56.0000,"gross_charge":333.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":48.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.8600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":56.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":48.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.1500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"}]}]},{"description":"T3 Reverse","code_information":[
                 { "code": "84482", "type": "CPT" } ],"standard_charges":[{"minimum":11.0200,"maximum":80.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":43.0000,"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":11.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.0200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.0200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.0200,"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":43.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Troponin Quant","code_information":[
                 { "code": "84484", "type": "CPT" } ],"standard_charges":[{"minimum":25.0000,"maximum":30.0000,"gross_charge":10.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Tyrosine","code_information":[
                 { "code": "84510", "type": "CPT" } ],"standard_charges":[{"minimum":14.0000,"maximum":15.0000,"gross_charge":247.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urea Nitrogen","code_information":[
                 { "code": "84520", "type": "CPT" } ],"standard_charges":[{"minimum":2.6200,"maximum":8.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.7700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.6500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.3800,"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":3.4200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":2.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.8700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.6500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine\/urea-n","code_information":[
                 { "code": "84540", "type": "CPT" } ],"standard_charges":[{"minimum":3.9000,"maximum":8.0000,"gross_charge":17.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Urea-n Clearance Test","code_information":[
                 { "code": "84545", "type": "CPT" } ],"standard_charges":[{"minimum":5.7100,"maximum":18.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.7100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.4600,"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 Health Maintenance Organization","standard_charge_dollar":6.3000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.2300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.3000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood\/uric Acid","code_information":[
                 { "code": "84550", "type": "CPT" } ],"standard_charges":[{"minimum":3.1600,"maximum":8.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.1600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"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":4.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine\/uric Acid","code_information":[
                 { "code": "84560", "type": "CPT" } ],"standard_charges":[{"minimum":3.5600,"maximum":7.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.9900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.5300,"methodology":"fee schedule"}]}]},{"description":"Test Urine Urobilinogen","code_information":[
                 { "code": "84578", "type": "CPT" } ],"standard_charges":[{"minimum":2.0000,"maximum":6.5000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.6500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.6500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Vma","code_information":[
                 { "code": "84585", "type": "CPT" } ],"standard_charges":[{"minimum":13.3900,"maximum":50.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.2100,"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":16.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":22.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.2100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":16.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.2100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vip","code_information":[
                 { "code": "84586", "type": "CPT" } ],"standard_charges":[{"minimum":20.8600,"maximum":186.0000,"gross_charge":375.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":154.0000,"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":50.6100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":162.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":50.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":186.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":32.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":162.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":30.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.6100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":154.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.8600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vasopressin","code_information":[
                 { "code": "84588", "type": "CPT" } ],"standard_charges":[{"minimum":29.3300,"maximum":165.0000,"gross_charge":409.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":162.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":48.6200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":32.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":48.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":48.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":48.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":47.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":48.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":32.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":162.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":48.6200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":47.4300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.3700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":48.6200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin A","code_information":[
                 { "code": "84590", "type": "CPT" } ],"standard_charges":[{"minimum":10.0300,"maximum":75.7400,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":71.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.2300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":75.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.0300,"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":16.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":75.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.2300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":71.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.2300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Nos Vitamin","code_information":[
                 { "code": "84591", "type": "CPT" } ],"standard_charges":[{"minimum":15.8000,"maximum":25.0000,"gross_charge":149.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.8000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.6100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin K","code_information":[
                 { "code": "84597", "type": "CPT" } ],"standard_charges":[{"minimum":11.8600,"maximum":30.0000,"gross_charge":189.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.1500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.7200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.6300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","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":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.7200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.1500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Volatiles","code_information":[
                 { "code": "84600", "type": "CPT" } ],"standard_charges":[{"minimum":13.9000,"maximum":52.9900,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":52.9900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":52.9900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.9000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":52.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":52.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.6200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","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":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Xylose Tolerance Test","code_information":[
                 { "code": "84620", "type": "CPT" } ],"standard_charges":[{"minimum":9.0000,"maximum":35.0000,"gross_charge":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.0000,"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":11.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.3000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.5500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.5500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":11.3000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Zinc","code_information":[
                 { "code": "84630", "type": "CPT" } ],"standard_charges":[{"minimum":5.0000,"maximum":47.0000,"gross_charge":53.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.8600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.8400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.9100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of C-peptide","code_information":[
                 { "code": "84681", "type": "CPT" } ],"standard_charges":[{"minimum":17.9900,"maximum":71.2400,"gross_charge":213.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":71.2400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":71.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"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 Medicare Avantage","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":71.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":71.2400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.0700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.8500,"methodology":"fee schedule"}]}]},{"description":"Chorionic Gonadotropin Test","code_information":[
                 { "code": "84702", "type": "CPT" } ],"standard_charges":[{"minimum":10.5200,"maximum":29.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":23.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.5200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.3600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"}]}]},{"description":"Chorionic Gonadotropin Assay","code_information":[
                 { "code": "84703", "type": "CPT" } ],"standard_charges":[{"minimum":5.2600,"maximum":20.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.7600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","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":7.1700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.7600,"methodology":"fee schedule"}]}]},{"description":"Unlisted Chemistry Procedure","code_information":[
                 { "code": "84999", "type": "CPT" } ],"standard_charges":[{"minimum":20.0000,"maximum":20.0000,"gross_charge":65.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":400.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Bleeding Time Test","code_information":[
                 { "code": "85002", "type": "CPT" } ],"standard_charges":[{"minimum":2.0000,"maximum":6.4500,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.3700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.3500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.8200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","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":3.3500,"methodology":"fee schedule"}]}]},{"description":"Bl Smear W\/diff Wbc Count","code_information":[
                 { "code": "85007", "type": "CPT" } ],"standard_charges":[{"minimum":2.4400,"maximum":8.0000,"gross_charge":17.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":2.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.9700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":2.5000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.9300,"methodology":"fee schedule"}]}]},{"description":"Bl Smear W\/o Diff Wbc Count","code_information":[
                 { "code": "85008", "type": "CPT" } ],"standard_charges":[{"minimum":2.4000,"maximum":17.0000,"gross_charge":10.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.4000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":4.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.9300,"methodology":"fee schedule"}]}]},{"description":"Hematocrit","code_information":[
                 { "code": "85014", "type": "CPT" } ],"standard_charges":[{"minimum":1.6600,"maximum":6.5500,"gross_charge":7.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":1.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.2400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":2.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":2.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":2.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.3900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.3100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":3.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.2600,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin","code_information":[
                 { "code": "85018", "type": "CPT" } ],"standard_charges":[{"minimum":1.6600,"maximum":6.5500,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":1.6600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":2.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.3900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":2.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":2.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":2.3700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":2.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Complete Cbc W\/auto Diff Wbc","code_information":[
                 { "code": "85025", "type": "CPT" } ],"standard_charges":[{"minimum":6.7100,"maximum":11.5700,"gross_charge":27.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.1400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.1400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.4100,"methodology":"fee schedule"}]}]},{"description":"Manual Cell Count Each","code_information":[
                 { "code": "85032", "type": "CPT" } ],"standard_charges":[{"minimum":3.0200,"maximum":4.1000,"gross_charge":10.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.7200,"methodology":"fee schedule"}]}]},{"description":"Automated Rbc Count","code_information":[
                 { "code": "85041", "type": "CPT" } ],"standard_charges":[{"minimum":2.0000,"maximum":7.2000,"gross_charge":10.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.8800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.6100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":4.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.3100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.8800,"methodology":"fee schedule"}]}]},{"description":"Automated Reticulocyte Count","code_information":[
                 { "code": "85044", "type": "CPT" } ],"standard_charges":[{"minimum":2.7900,"maximum":10.0000,"gross_charge":17.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Automated Reticulocyte Count","code_information":[
                 { "code": "85045", "type": "CPT" } ],"standard_charges":[{"minimum":2.7900,"maximum":10.0000,"gross_charge":17.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.7900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.4500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.7400,"methodology":"fee schedule"}]}]},{"description":"Automated Leukocyte Count","code_information":[
                 { "code": "85048", "type": "CPT" } ],"standard_charges":[{"minimum":2.0000,"maximum":7.0000,"gross_charge":3.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.4200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.5700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":2.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":3.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":3.5500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.5700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"}]}]},{"description":"Automated Platelet Count","code_information":[
                 { "code": "85049", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":6.4000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.8700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.4800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.2500,"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":5.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"}]}]},{"description":"Reticulated Platelet Assay","code_information":[
                 { "code": "85055", "type": "CPT" } ],"standard_charges":[{"minimum":35.7400,"maximum":50.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.7400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":38.3500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":38.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":38.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":38.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":36.4700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":37.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":38.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":37.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":38.3500,"methodology":"fee schedule"}]}]},{"description":"Tissue Culture Bone Marrow","code_information":[
                 { "code": "85097", "type": "CPT" } ],"standard_charges":[{"minimum":15.0000,"maximum":65.7900,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":31.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":31.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":65.7900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":31.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Blood Clot Retraction","code_information":[
                 { "code": "85170", "type": "CPT" } ],"standard_charges":[{"minimum":3.7500,"maximum":11.4100,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.5400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.5400,"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":11.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.0500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.4000,"methodology":"fee schedule"}]}]},{"description":"F2 Gene","code_information":[
                 { "code": "85210", "type": "CPT" } ],"standard_charges":[{"minimum":14.8600,"maximum":90.0000,"gross_charge":202.5000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":7.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":255.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.1200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.6000,"methodology":"fee schedule"}]}]},{"description":"Blooc Clot Factor V Test","code_information":[
                 { "code": "85220", "type": "CPT" } ],"standard_charges":[{"minimum":15.1500,"maximum":168.0000,"gross_charge":161.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":118.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":168.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":118.9900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"}]}]},{"description":"Clot Factor Vii Proconvertin","code_information":[
                 { "code": "85230", "type": "CPT" } ],"standard_charges":[{"minimum":15.4700,"maximum":125.0000,"gross_charge":161.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.9500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.9500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.0200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"}]}]},{"description":"Clot Factor Viii Ahg 1 Stage","code_information":[
                 { "code": "85240", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":123.4900,"gross_charge":83.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":123.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":115.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":123.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.9500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.0200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":115.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.9500,"methodology":"fee schedule"}]}]},{"description":"Clot Factor Viii Vw Ristoctn","code_information":[
                 { "code": "85245", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":130.0000,"gross_charge":189.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":86.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.1300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":92.9900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.8200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":92.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":32.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":32.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":86.0000,"methodology":"fee schedule"}]}]},{"description":"Clot Factor Viii Vw Antigen","code_information":[
                 { "code": "85246", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":130.0000,"gross_charge":199.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":104.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.8200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":32.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":34.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":32.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"}]}]},{"description":"Clot Factor Viii Multimetric","code_information":[
                 { "code": "85247", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":98.0000,"gross_charge":220.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.1300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.1300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":32.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":32.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Clot Factor Ix Ptc\/chrstmas","code_information":[
                 { "code": "85250", "type": "CPT" } ],"standard_charges":[{"minimum":16.4600,"maximum":125.0000,"gross_charge":83.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":122.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":104.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":122.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":104.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.7500,"methodology":"fee schedule"}]}]},{"description":"Clot Factor X Stuart-power","code_information":[
                 { "code": "85260", "type": "CPT" } ],"standard_charges":[{"minimum":15.4700,"maximum":125.0000,"gross_charge":161.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.0700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.0200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.0700,"methodology":"fee schedule"}]}]},{"description":"Clot Factor Xi Pta","code_information":[
                 { "code": "85270", "type": "CPT" } ],"standard_charges":[{"minimum":15.4700,"maximum":95.0000,"gross_charge":175.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.9500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.0200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.9500,"methodology":"fee schedule"}]}]},{"description":"Clot Factor Xii Hageman","code_information":[
                 { "code": "85280", "type": "CPT" } ],"standard_charges":[{"minimum":16.6100,"maximum":79.0000,"gross_charge":195.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.7200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"}]}]},{"description":"Clot Factor Xiii Fibrin Stab","code_information":[
                 { "code": "85290", "type": "CPT" } ],"standard_charges":[{"minimum":9.5000,"maximum":90.0000,"gross_charge":17.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.0300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.1200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.5400,"methodology":"fee schedule"},{"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":20.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.5400,"methodology":"fee schedule"}]}]},{"description":"Clot Factor Wght Kininogen","code_information":[
                 { "code": "85293", "type": "CPT" } ],"standard_charges":[{"minimum":14.0000,"maximum":30.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.1300,"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":18.0600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.4600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.1300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":18.0600,"methodology":"fee schedule"}]}]},{"description":"Antithrombin Iii Activity","code_information":[
                 { "code": "85300", "type": "CPT" } ],"standard_charges":[{"minimum":9.0400,"maximum":100.0000,"gross_charge":126.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":64.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":57.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.0400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.8500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.5500,"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":57.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"}]}]},{"description":"F2 Gene","code_information":[
                 { "code": "85301", "type": "CPT" } ],"standard_charges":[{"minimum":14.8600,"maximum":90.0000,"gross_charge":202.5000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.7300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.1100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Clot Inhibit Prot C Antigen","code_information":[
                 { "code": "85302", "type": "CPT" } ],"standard_charges":[{"minimum":8.4100,"maximum":75.0000,"gross_charge":126.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"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":11.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.2200,"methodology":"fee schedule"}]}]},{"description":"Clot Inhibit Prot C Activity","code_information":[
                 { "code": "85303", "type": "CPT" } ],"standard_charges":[{"minimum":8.1300,"maximum":120.0000,"gross_charge":206.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.1300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.8100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":115.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.9600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":115.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.3200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.3200,"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":100.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.8100,"methodology":"fee schedule"}]}]},{"description":"Clot Inhibit Prot S Total","code_information":[
                 { "code": "85305", "type": "CPT" } ],"standard_charges":[{"minimum":10.0300,"maximum":126.2400,"gross_charge":131.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":126.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.0700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":126.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.0700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.6100,"methodology":"fee schedule"}]}]},{"description":"Clot Inhibit Prot S Free","code_information":[
                 { "code": "85306", "type": "CPT" } ],"standard_charges":[{"minimum":15.3200,"maximum":50.0000,"gross_charge":253.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.4700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.7200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.4700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":14.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Activated Protein C","code_information":[
                 { "code": "85307", "type": "CPT" } ],"standard_charges":[{"minimum":18.0000,"maximum":25.0000,"gross_charge":162.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.8700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.4700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.4700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"}]}]},{"description":"Factor Inhibitor Test","code_information":[
                 { "code": "85335", "type": "CPT" } ],"standard_charges":[{"minimum":11.1200,"maximum":90.0000,"gross_charge":161.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":51.9900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":51.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.2700,"methodology":"fee schedule"}]}]},{"description":"Coagulation Time Lee  White","code_information":[
                 { "code": "85345", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":6.1600,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1600,"methodology":"fee schedule"}]}]},{"description":"Euglobulin Lysis","code_information":[
                 { "code": "85360", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":11.7400,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.8000,"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":7.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.3500,"methodology":"fee schedule"}]}]},{"description":"Fibrin Degradation Products","code_information":[
                 { "code": "85362", "type": "CPT" } ],"standard_charges":[{"minimum":4.8200,"maximum":35.0000,"gross_charge":56.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.6200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.8600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.8600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.5700,"methodology":"fee schedule"}]}]},{"description":"Fibrin Degradation Quant","code_information":[
                 { "code": "85379", "type": "CPT" } ],"standard_charges":[{"minimum":9.7100,"maximum":180.0000,"gross_charge":180.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.8700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"}]}]},{"description":"Fibrinogen Activity","code_information":[
                 { "code": "85384", "type": "CPT" } ],"standard_charges":[{"minimum":6.8000,"maximum":38.4900,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.8700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":9.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1700,"methodology":"fee schedule"}]}]},{"description":"Fibrinogen Antigen","code_information":[
                 { "code": "85385", "type": "CPT" } ],"standard_charges":[{"minimum":8.2800,"maximum":14.4600,"gross_charge":220.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.8700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"}]}]},{"description":"Clotting Funct Activity","code_information":[
                 { "code": "85397", "type": "CPT" } ],"standard_charges":[{"minimum":30.8600,"maximum":32.2900,"gross_charge":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":32.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":32.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.2900,"methodology":"fee schedule"}]}]},{"description":"Fibrinolytic Antiplasmin","code_information":[
                 { "code": "85410", "type": "CPT" } ],"standard_charges":[{"minimum":10.5000,"maximum":12.0000,"gross_charge":290.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.0500,"methodology":"fee schedule"}]}]},{"description":"Fibrinolytic Plasminogen","code_information":[
                 { "code": "85420", "type": "CPT" } ],"standard_charges":[{"minimum":5.6400,"maximum":138.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.9200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":138.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.9200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.6400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":138.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.9200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.2300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.2300,"methodology":"fee schedule"}]}]},{"description":"Heparin Assay","code_information":[
                 { "code": "85520", "type": "CPT" } ],"standard_charges":[{"minimum":17.8300,"maximum":25.0000,"gross_charge":203.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.2900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.2900,"methodology":"fee schedule"}]}]},{"description":"Wbc Alkaline Phosphatase","code_information":[
                 { "code": "85540", "type": "CPT" } ],"standard_charges":[{"minimum":7.4300,"maximum":30.0000,"gross_charge":220.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.2000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.4300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3200,"methodology":"fee schedule"}]}]},{"description":"Muramidase","code_information":[
                 { "code": "85549", "type": "CPT" } ],"standard_charges":[{"minimum":16.2100,"maximum":80.0000,"gross_charge":126.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":78.2400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.8700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.8800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.2100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":78.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.8800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.2100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.8700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.8700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.8800,"methodology":"fee schedule"}]}]},{"description":"Rbc Osmotic Fragility","code_information":[
                 { "code": "85557", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"}]}]},{"description":"Phospholipid Pltlt Neutraliz","code_information":[
                 { "code": "85597", "type": "CPT" } ],"standard_charges":[{"minimum":19.3400,"maximum":30.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.3400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.1200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.3400,"methodology":"fee schedule"}]}]},{"description":"Hexagnal Phosph Pltlt Neutrl","code_information":[
                 { "code": "85598", "type": "CPT" } ],"standard_charges":[{"minimum":25.3000,"maximum":25.3000,"gross_charge":210.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.3000,"methodology":"fee schedule"}]}]},{"description":"Prothrombin Time","code_information":[
                 { "code": "85610", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":9.6000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.7500,"methodology":"fee schedule"}]}]},{"description":"Russell Viper Venom Diluted","code_information":[
                 { "code": "85613", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":9.1400,"gross_charge":93.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.1400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Reptilase Test","code_information":[
                 { "code": "85635", "type": "CPT" } ],"standard_charges":[{"minimum":13.4200,"maximum":15.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.7600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":14.1000,"methodology":"fee schedule"}]}]},{"description":"Rbc Sed Rate Nonautomated","code_information":[
                 { "code": "85651", "type": "CPT" } ],"standard_charges":[{"minimum":2.9900,"maximum":7.0000,"gross_charge":13.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.3800,"methodology":"fee schedule"}]}]},{"description":"Rbc Sed Rate Automated","code_information":[
                 { "code": "85652", "type": "CPT" } ],"standard_charges":[{"minimum":1.8900,"maximum":10.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":1.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.8700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"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":2.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":2.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":3.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":3.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":2.7000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":2.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.8700,"methodology":"fee schedule"}]}]},{"description":"Rbc Sickle Cell Test","code_information":[
                 { "code": "85660", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":25.0000,"gross_charge":28.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Thrombin Time Plasma","code_information":[
                 { "code": "85670", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":15.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.9800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.0700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.0700,"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":15.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.2700,"methodology":"fee schedule"}]}]},{"description":"Syphilis Test Non-trep Qual","code_information":[
                 { "code": "85692", "type": "CPT" } ],"standard_charges":[{"minimum":3.6900,"maximum":11.7400,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"}]}]},{"description":"Thromboplastin Inhibition","code_information":[
                 { "code": "85705", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":130.0000,"gross_charge":162.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.1100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.4500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Thromboplastin Time Partial","code_information":[
                 { "code": "85730", "type": "CPT" } ],"standard_charges":[{"minimum":4.2100,"maximum":11.2000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.2000,"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 Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.2100,"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":5.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.0100,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.7300,"methodology":"fee schedule"}]}]},{"description":"Blood Viscosity Examination","code_information":[
                 { "code": "85810", "type": "CPT" } ],"standard_charges":[{"minimum":11.6700,"maximum":30.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.7200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.3200,"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":16.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.6700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.6700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.7200,"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 Health Maintenance Organization","standard_charge_dollar":15.9100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"}]}]},{"description":"Agglutinins Febrile Antigen","code_information":[
                 { "code": "86000", "type": "CPT" } ],"standard_charges":[{"minimum":6.0300,"maximum":20.0000,"gross_charge":57.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Allergen Specific Igg","code_information":[
                 { "code": "86001", "type": "CPT" } ],"standard_charges":[{"minimum":7.1000,"maximum":25.0000,"gross_charge":28.0000,"setting":"outpatient","payers_information":[{"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 Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.1500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.1200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.1000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.1500,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Allg Spec Ige Crude Xtrc Ea","code_information":[
                 { "code": "86003", "type": "CPT" } ],"standard_charges":[{"minimum":4.5100,"maximum":75.0000,"gross_charge":28.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.3600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.5100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.1500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.6900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.6900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"}]}]},{"description":"Allg Spec Ige Multiallg Scr","code_information":[
                 { "code": "86005", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":135.0000,"gross_charge":192.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.4200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.4200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.8900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.4200,"methodology":"fee schedule"}]}]},{"description":"Wbc Antibody Identification","code_information":[
                 { "code": "86021", "type": "CPT" } ],"standard_charges":[{"minimum":15.0500,"maximum":80.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.0300,"methodology":"fee schedule"},{"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 Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"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 Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"}]}]},{"description":"Platelet Antibodies","code_information":[
                 { "code": "86022", "type": "CPT" } ],"standard_charges":[{"minimum":25.8500,"maximum":70.0000,"gross_charge":380.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.0200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.8500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross 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":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.8500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":26.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.6600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.0200,"methodology":"fee schedule"}]}]},{"description":"Immunoglobulin Assay","code_information":[
                 { "code": "86023", "type": "CPT" } ],"standard_charges":[{"minimum":17.8400,"maximum":17.8400,"gross_charge":280.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.8400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.8400,"methodology":"fee schedule"}]}]},{"description":"Antinuclear Antibodies","code_information":[
                 { "code": "86038", "type": "CPT" } ],"standard_charges":[{"minimum":8.4600,"maximum":30.0000,"gross_charge":61.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.4600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":11.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Antinuclear Antibodies (ana)","code_information":[
                 { "code": "86039", "type": "CPT" } ],"standard_charges":[{"minimum":7.8100,"maximum":100.0000,"gross_charge":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"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":7.8100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.9900,"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":9.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.6000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.9900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":10.6400,"methodology":"fee schedule"}]}]},{"description":"Antistreptolysin O Titer","code_information":[
                 { "code": "86060", "type": "CPT" } ],"standard_charges":[{"minimum":6.3100,"maximum":20.0000,"gross_charge":98.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.4600,"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":6.9700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.3100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.9700,"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 Prime Commercial","standard_charge_dollar":10.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.9700,"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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.4600,"methodology":"fee schedule"}]}]},{"description":"Antistreptolysin O Screen","code_information":[
                 { "code": "86063", "type": "CPT" } ],"standard_charges":[{"minimum":7.3400,"maximum":30.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","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":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.8700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"}]}]},{"description":"C-reactive Protein","code_information":[
                 { "code": "86140", "type": "CPT" } ],"standard_charges":[{"minimum":3.6300,"maximum":12.0000,"gross_charge":27.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","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":4.4700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.9000,"methodology":"fee schedule"}]}]},{"description":"C-reactive Protein Hs","code_information":[
                 { "code": "86141", "type": "CPT" } ],"standard_charges":[{"minimum":12.3400,"maximum":105.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":97.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.9500,"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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5400,"methodology":"fee schedule"}]}]},{"description":"Beta-2 Glycoprotein Antibody","code_information":[
                 { "code": "86146", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":100.0000,"gross_charge":133.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.8200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":34.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.5400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.2600,"methodology":"fee schedule"}]}]},{"description":"Cardiolipin Antibody Ea Ig","code_information":[
                 { "code": "86147", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":34.6600,"gross_charge":262.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":56.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.9900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":31.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.5400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"}]}]},{"description":"Anti-phospholipid Antibody","code_information":[
                 { "code": "86148", "type": "CPT" } ],"standard_charges":[{"minimum":11.2500,"maximum":70.0000,"gross_charge":325.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":56.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.4400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.8900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.4400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.0100,"methodology":"fee schedule"}]}]},{"description":"Cold Agglutinin Screen","code_information":[
                 { "code": "86156", "type": "CPT" } ],"standard_charges":[{"minimum":5.7900,"maximum":11.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.7900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":6.3800,"methodology":"fee schedule"}]}]},{"description":"Complement Antigen","code_information":[
                 { "code": "86160", "type": "CPT" } ],"standard_charges":[{"minimum":12.0000,"maximum":25.0000,"gross_charge":247.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross 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":"Blue Cross","plan_name":"Blue Cross 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":"Blue Cross","plan_name":"Blue Cross 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":"Blue Cross","plan_name":"Blue Cross 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":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8100,"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 Commercial","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 Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.4500,"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 Commercial","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 Commercial","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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.7800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"}]}]},{"description":"Complement\/function Activity","code_information":[
                 { "code": "86161", "type": "CPT" } ],"standard_charges":[{"minimum":10.3700,"maximum":35.0000,"gross_charge":161.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.9000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.9000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.9000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"}]}]},{"description":"Complement Total (ch50)","code_information":[
                 { "code": "86162", "type": "CPT" } ],"standard_charges":[{"minimum":14.2200,"maximum":85.2400,"gross_charge":187.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.1000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":85.2400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.1000,"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":17.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":85.2400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.1000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.3900,"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":75.0000,"methodology":"fee schedule"}]}]},{"description":"Ccp Antibody","code_information":[
                 { "code": "86200", "type": "CPT" } ],"standard_charges":[{"minimum":9.0700,"maximum":112.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.0700,"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":11.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":112.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.5400,"methodology":"fee schedule"}]}]},{"description":"Deoxyribonuclease Antibody","code_information":[
                 { "code": "86215", "type": "CPT" } ],"standard_charges":[{"minimum":16.8900,"maximum":40.0000,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.6400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.9800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.5100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.9800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.5100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.9800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.5100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":12.6400,"methodology":"fee schedule"}]}]},{"description":"Dna Antibody Native","code_information":[
                 { "code": "86225", "type": "CPT" } ],"standard_charges":[{"minimum":9.6200,"maximum":40.0000,"gross_charge":83.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.6800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.6200,"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":11.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.7100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"}]}]},{"description":"Dna Antibody Single Strand","code_information":[
                 { "code": "86226", "type": "CPT" } ],"standard_charges":[{"minimum":8.4800,"maximum":40.0000,"gross_charge":133.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.3500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.4700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"}]}]},{"description":"Nuclear Antigen Antibody","code_information":[
                 { "code": "86235", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":53.9400,"gross_charge":81.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.3500,"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 Commercial","standard_charge_dollar":8.0000,"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 Commercial","standard_charge_dollar":8.0000,"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 Commercial","standard_charge_dollar":8.0000,"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 Commercial","standard_charge_dollar":8.0000,"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 Commercial","standard_charge_dollar":8.0000,"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":17.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":43.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":43.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":43.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":53.9400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.0600,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.1000,"methodology":"fee schedule"}]}]},{"description":"Fluorescent Antibody Screen","code_information":[
                 { "code": "86255", "type": "CPT" } ],"standard_charges":[{"minimum":11.4900,"maximum":34.0400,"gross_charge":163.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":11.4900,"methodology":"fee schedule"}]}]},{"description":"Fluorescent Antibody Titer","code_information":[
                 { "code": "86256", "type": "CPT" } ],"standard_charges":[{"minimum":12.0500,"maximum":34.0400,"gross_charge":106.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva 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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.9600,"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 Commercial","standard_charge_dollar":30.0000,"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 Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.9600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":11.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Growth Hormone Antibody","code_information":[
                 { "code": "86277", "type": "CPT" } ],"standard_charges":[{"minimum":17.6000,"maximum":40.0000,"gross_charge":93.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.6000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.6000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Immunoassay Tumor Ca 15-3","code_information":[
                 { "code": "86300", "type": "CPT" } ],"standard_charges":[{"minimum":19.1900,"maximum":39.8300,"gross_charge":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.8100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":27.0000,"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 Health Maintenance Organization","standard_charge_dollar":19.1900,"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 Medicare Avantage","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.8100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.1900,"methodology":"fee schedule"}]}]},{"description":"Immunoassay Tumor Ca 19-9","code_information":[
                 { "code": "86301", "type": "CPT" } ],"standard_charges":[{"minimum":15.3600,"maximum":39.8300,"gross_charge":176.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.4200,"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":15.3600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.8100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8100,"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":17.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Immunoassay Tumor Ca 125","code_information":[
                 { "code": "86304", "type": "CPT" } ],"standard_charges":[{"minimum":14.5700,"maximum":39.8300,"gross_charge":176.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.8100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.5700,"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":17.9900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.1900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.1900,"methodology":"fee schedule"}]}]},{"description":"Heterophile Antibody Screen","code_information":[
                 { "code": "86308", "type": "CPT" } ],"standard_charges":[{"minimum":4.4700,"maximum":25.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"}]}]},{"description":"Immunoassay Tumor Other","code_information":[
                 { "code": "86316", "type": "CPT" } ],"standard_charges":[{"minimum":20.8100,"maximum":78.4900,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.8100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":78.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":78.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":78.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8100,"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 Medicare Avantage","standard_charge_dollar":20.8100,"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":17.9900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":29.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.1200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":19.1900,"methodology":"fee schedule"}]}]},{"description":"Immunoassay Infectious Agent","code_information":[
                 { "code": "86317", "type": "CPT" } ],"standard_charges":[{"minimum":12.9500,"maximum":88.7800,"gross_charge":91.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"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":14.2900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":88.7800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.9500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.4700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":88.7800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.4700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.2900,"methodology":"fee schedule"}]}]},{"description":"Serum Immunoelectrophoresis","code_information":[
                 { "code": "86320", "type": "CPT" } ],"standard_charges":[{"minimum":20.9400,"maximum":52.0000,"gross_charge":83.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.9400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.9400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.4800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":31.3200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.9200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":32.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.4800,"methodology":"fee schedule"}]}]},{"description":"Other Immunoelectrophoresis","code_information":[
                 { "code": "86325", "type": "CPT" } ],"standard_charges":[{"minimum":19.3300,"maximum":70.0000,"gross_charge":556.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":31.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.0300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.2400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":32.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"}]}]},{"description":"Sars-cov-2 Covid-19 Amp Prb","code_information":[
                 { "code": "86328", "type": "CPT" } ],"standard_charges":[{"minimum":13.4400,"maximum":45.2300,"gross_charge":21.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.9600,"methodology":"fee schedule"}]}]},{"description":"Immunodiffusion Ouchterlony","code_information":[
                 { "code": "86331", "type": "CPT" } ],"standard_charges":[{"minimum":10.3500,"maximum":30.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.7500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.1700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","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":16.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.3300,"methodology":"fee schedule"}]}]},{"description":"Immune Complex Assay","code_information":[
                 { "code": "86332", "type": "CPT" } ],"standard_charges":[{"minimum":21.0600,"maximum":80.7400,"gross_charge":168.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.2400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":34.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":34.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":80.7400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":34.0500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":34.0500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.2400,"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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":34.9100,"methodology":"fee schedule"}]}]},{"description":"Immunofix E-phoresis Serum","code_information":[
                 { "code": "86334", "type": "CPT" } ],"standard_charges":[{"minimum":13.4100,"maximum":150.0000,"gross_charge":187.5000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":31.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.4300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.2100,"methodology":"fee schedule"}]}]},{"description":"Immunfix E-phorsis\/urine\/csf","code_information":[
                 { "code": "86335", "type": "CPT" } ],"standard_charges":[{"minimum":20.5500,"maximum":200.0000,"gross_charge":160.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":42.0400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":27.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":39.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":39.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":39.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.7300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.7300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.7300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":42.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":42.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":42.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":39.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":39.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":39.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.7300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":41.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":42.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":41.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":41.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.9800,"methodology":"fee schedule"}]}]},{"description":"Inhibin A","code_information":[
                 { "code": "86336", "type": "CPT" } ],"standard_charges":[{"minimum":13.3700,"maximum":110.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":21.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.1100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"}]}]},{"description":"Insulin Antibodies","code_information":[
                 { "code": "86337", "type": "CPT" } ],"standard_charges":[{"minimum":18.5000,"maximum":110.4900,"gross_charge":138.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":110.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.6700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.6700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":110.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.6700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.9200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":29.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.4100,"methodology":"fee schedule"}]}]},{"description":"Intrinsic Factor Antibody","code_information":[
                 { "code": "86340", "type": "CPT" } ],"standard_charges":[{"minimum":10.5600,"maximum":70.9900,"gross_charge":163.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":70.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.5600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.0800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":70.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Islet Cell Antibody","code_information":[
                 { "code": "86341", "type": "CPT" } ],"standard_charges":[{"minimum":17.1000,"maximum":120.0000,"gross_charge":187.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.0600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.7400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.8900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":80.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":80.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.3400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.0600,"methodology":"fee schedule"}]}]},{"description":"Leukocyte Histamine Release","code_information":[
                 { "code": "86343", "type": "CPT" } ],"standard_charges":[{"minimum":9.1900,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.9700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.1900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.1900,"methodology":"fee schedule"}]}]},{"description":"Leukocyte Phagocytosis","code_information":[
                 { "code": "86344", "type": "CPT" } ],"standard_charges":[{"minimum":11.0400,"maximum":11.2400,"gross_charge":375.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.0400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.2400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.4400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":500.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.4400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.4400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.2400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.2400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.1600,"methodology":"fee schedule"}]}]},{"description":"B Cells Total Count","code_information":[
                 { "code": "86355", "type": "CPT" } ],"standard_charges":[{"minimum":33.0000,"maximum":53.0800,"gross_charge":380.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":53.0800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":53.0800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":53.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":53.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":53.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":53.0800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":53.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"}]}]},{"description":"Nk Cells Total Count","code_information":[
                 { "code": "86357", "type": "CPT" } ],"standard_charges":[{"minimum":52.0000,"maximum":54.0300,"gross_charge":225.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"}]}]},{"description":"T Cells Total Count","code_information":[
                 { "code": "86359", "type": "CPT" } ],"standard_charges":[{"minimum":32.6100,"maximum":120.0000,"gross_charge":231.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":35.9700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":55.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":32.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":35.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":55.7000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":52.7000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":52.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":35.9700,"methodology":"fee schedule"}]}]},{"description":"T Cell Absolute Count\/ratio","code_information":[
                 { "code": "86360", "type": "CPT" } ],"standard_charges":[{"minimum":39.0000,"maximum":85.0000,"gross_charge":333.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":67.3000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":67.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":67.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":46.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":40.6100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":46.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":67.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":65.6500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":65.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":39.0000,"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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":67.3000,"methodology":"fee schedule"}]}]},{"description":"T Cell Absolute Count","code_information":[
                 { "code": "86361", "type": "CPT" } ],"standard_charges":[{"minimum":18.7500,"maximum":45.0000,"gross_charge":56.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":38.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.1400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":38.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.4700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":37.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":36.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":38.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":37.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"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":40.0000,"methodology":"fee schedule"}]}]},{"description":"Virus Antibody Nos","code_information":[
                 { "code": "86376", "type": "CPT" } ],"standard_charges":[{"minimum":20.8400,"maximum":20.8400,"gross_charge":141.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.9900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.5700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.9900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.8700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":13.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Rheumatoid Factor Test Qual","code_information":[
                 { "code": "86430", "type": "CPT" } ],"standard_charges":[{"minimum":4.3000,"maximum":20.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.3000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.1300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.9000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.1300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.1400,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Rheumatoid Factor Quant","code_information":[
                 { "code": "86431", "type": "CPT" } ],"standard_charges":[{"minimum":3.9700,"maximum":11.2000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.1300,"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":3.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.9000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.9300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.4100,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.1300,"methodology":"fee schedule"}]}]},{"description":"Tb Test Cell Immun Measure","code_information":[
                 { "code": "86480", "type": "CPT" } ],"standard_charges":[{"minimum":59.1000,"maximum":325.0000,"gross_charge":450.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":59.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":61.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":61.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":76.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":61.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"}]}]},{"description":"Tb Intradermal Test","code_information":[
                 { "code": "86580", "type": "CPT" } ],"standard_charges":[{"minimum":6.6200,"maximum":18.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.7800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.7800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":8.7800,"methodology":"fee schedule"}]}]},{"description":"Syphilis Test Non-trep Qual","code_information":[
                 { "code": "86592", "type": "CPT" } ],"standard_charges":[{"minimum":4.2700,"maximum":12.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.6900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":4.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":4.0700,"methodology":"fee schedule"}]}]},{"description":"Syphilis Test Non-trep Quant","code_information":[
                 { "code": "86593", "type": "CPT" } ],"standard_charges":[{"minimum":3.0800,"maximum":12.0000,"gross_charge":28.0000,"setting":"outpatient","payers_information":[{"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":3.0800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.3000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA 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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.4000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Antinomyces Antibody","code_information":[
                 { "code": "86602", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":15.0000,"gross_charge":196.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"}]}]},{"description":"Adenovirus Antibody","code_information":[
                 { "code": "86603", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":66.7400,"gross_charge":198.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.2600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":66.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":66.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Aspergillus Antibody","code_information":[
                 { "code": "86606", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":100.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":56.2400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":56.2400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.9700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.9700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Bacterium Antibody","code_information":[
                 { "code": "86609", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":150.0000,"gross_charge":165.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.5500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Bartonella Antibody","code_information":[
                 { "code": "86611", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":33.4900,"gross_charge":196.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"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":11.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":11.1000,"methodology":"fee schedule"}]}]},{"description":"Blastomyces Antibody","code_information":[
                 { "code": "86612", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":25.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.5800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0300,"methodology":"fee schedule"}]}]},{"description":"Bordetella Antibody","code_information":[
                 { "code": "86615", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":145.0000,"gross_charge":203.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.2800,"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 Health Maintenance Organization","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.5800,"methodology":"fee schedule"}]}]},{"description":"Lyme Disease Antibody","code_information":[
                 { "code": "86618", "type": "CPT" } ],"standard_charges":[{"minimum":23.9700,"maximum":70.0000,"gross_charge":166.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":68.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":68.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":68.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":68.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":68.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":68.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.5600,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"}]}]},{"description":"Brucella Antibody","code_information":[
                 { "code": "86622", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":190.0000,"gross_charge":70.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"}]}]},{"description":"Campylobacter Antibody","code_information":[
                 { "code": "86625", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":18.5000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.8700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"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":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.5000,"methodology":"fee schedule"}]}]},{"description":"Candida Antibody","code_information":[
                 { "code": "86628", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":30.0000,"gross_charge":133.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.3600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.7800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Chlamydia Antibody","code_information":[
                 { "code": "86631", "type": "CPT" } ],"standard_charges":[{"minimum":10.2200,"maximum":50.0000,"gross_charge":180.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.1500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.6400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.1100,"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 Health Maintenance Organization","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.5200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.5000,"methodology":"fee schedule"}]}]},{"description":"Chlamydia Igm Antibody","code_information":[
                 { "code": "86632", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":56.0000,"gross_charge":180.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":56.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"Coccidioides Antibody","code_information":[
                 { "code": "86635", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":195.0000,"gross_charge":105.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":195.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.0300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.0300,"methodology":"fee schedule"}]}]},{"description":"Q Fever Antibody","code_information":[
                 { "code": "86638", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":50.0000,"gross_charge":207.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Cryptococcus Antibody","code_information":[
                 { "code": "86641", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":40.8900,"gross_charge":105.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.4500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.1400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.1400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"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 Health Maintenance Organization","standard_charge_dollar":13.7400,"methodology":"fee schedule"}]}]},{"description":"Cmv Antibody","code_information":[
                 { "code": "86644", "type": "CPT" } ],"standard_charges":[{"minimum":19.6100,"maximum":40.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.5400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.5400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.1100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"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":26.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"}]}]},{"description":"Cmv Antibody Igm","code_information":[
                 { "code": "86645", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":48.0000,"gross_charge":160.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.5400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":29.0000,"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"}]}]},{"description":"Diphtheria Antibody","code_information":[
                 { "code": "86648", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":150.0000,"gross_charge":98.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.7200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Encephalitis Californ Antbdy","code_information":[
                 { "code": "86651", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":40.0000,"gross_charge":83.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Encephaltis East Eqne Anbdy","code_information":[
                 { "code": "86652", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":25.0000,"gross_charge":62.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Encephaltis St Louis Antbody","code_information":[
                 { "code": "86653", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":45.0000,"gross_charge":93.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Encephaltis West Eqne Antbdy","code_information":[
                 { "code": "86654", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":25.0000,"gross_charge":68.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"}]}]},{"description":"Enterovirus Antibody","code_information":[
                 { "code": "86658", "type": "CPT" } ],"standard_charges":[{"minimum":16.0800,"maximum":129.0500,"gross_charge":173.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":129.0500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":129.0500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":129.0500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":129.0500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":62.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":78.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":78.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":62.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":129.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":129.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":129.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":129.0500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.4300,"methodology":"fee schedule"}]}]},{"description":"Epstein-barr Antibody","code_information":[
                 { "code": "86663", "type": "CPT" } ],"standard_charges":[{"minimum":5.0000,"maximum":44.0000,"gross_charge":176.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.7000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"}]}]},{"description":"Epstein-barr Nuclear Antigen","code_information":[
                 { "code": "86664", "type": "CPT" } ],"standard_charges":[{"minimum":13.2200,"maximum":75.0000,"gross_charge":98.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.5900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.9100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.9100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"}]}]},{"description":"Epstein-barr Capsid Vca","code_information":[
                 { "code": "86665", "type": "CPT" } ],"standard_charges":[{"minimum":15.6800,"maximum":92.0000,"gross_charge":65.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.3000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":92.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.6800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":92.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.9800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.3000,"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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.9800,"methodology":"fee schedule"}]}]},{"description":"Ehrlichia Antibody","code_information":[
                 { "code": "86666", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":275.0000,"gross_charge":302.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.8600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Fungus Nes Antibody","code_information":[
                 { "code": "86671", "type": "CPT" } ],"standard_charges":[{"minimum":7.2800,"maximum":220.0000,"gross_charge":245.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":220.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.1300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"}]}]},{"description":"Giardia Lamblia Antibody","code_information":[
                 { "code": "86674", "type": "CPT" } ],"standard_charges":[{"minimum":20.0500,"maximum":65.0000,"gross_charge":253.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.7200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.0800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.7200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.7200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.0800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.5600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.0800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Helicobacter Pylori Antibody","code_information":[
                 { "code": "86677", "type": "CPT" } ],"standard_charges":[{"minimum":16.8500,"maximum":103.0000,"gross_charge":56.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","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":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.4200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.4200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.4200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":103.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":103.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":103.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":103.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":103.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":103.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"}]}]},{"description":"Helminth Antibody","code_information":[
                 { "code": "86682", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":18.3100,"gross_charge":182.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.3100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.3100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.3100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.3100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.3100,"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 Commercial","standard_charge_dollar":9.7500,"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":9.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.1700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"}]}]},{"description":"Hemophilus Influenza Antibdy","code_information":[
                 { "code": "86684", "type": "CPT" } ],"standard_charges":[{"minimum":21.5900,"maximum":65.0000,"gross_charge":175.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.7000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":22.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.1400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.7000,"methodology":"fee schedule"}]}]},{"description":"Htlv-i Antibody","code_information":[
                 { "code": "86687", "type": "CPT" } ],"standard_charges":[{"minimum":7.2500,"maximum":35.0000,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.7200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.0200,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"}]}]},{"description":"Htlv-ii Antibody","code_information":[
                 { "code": "86688", "type": "CPT" } ],"standard_charges":[{"minimum":12.1000,"maximum":35.0000,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.3600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.0700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.3600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.0700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.5700,"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":29.0000,"methodology":"fee schedule"}]}]},{"description":"Htlv\/hiv Confirmj Antibody","code_information":[
                 { "code": "86689", "type": "CPT" } ],"standard_charges":[{"minimum":16.7300,"maximum":60.0000,"gross_charge":216.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare 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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":56.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.0500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.2300,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"}]}]},{"description":"Hepatitis Delta Agent Antbdy","code_information":[
                 { "code": "86692", "type": "CPT" } ],"standard_charges":[{"minimum":14.8300,"maximum":95.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.3700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.5800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.5800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":23.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":24.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.3700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.5800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":16.3700,"methodology":"fee schedule"}]}]},{"description":"Herpes Simplex Type 1 Test","code_information":[
                 { "code": "86695", "type": "CPT" } ],"standard_charges":[{"minimum":16.2800,"maximum":18.8900,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.8800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.8800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime 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":17.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.5800,"methodology":"fee schedule"}]}]},{"description":"Herpes Simplex Type 2 Test","code_information":[
                 { "code": "86696", "type": "CPT" } ],"standard_charges":[{"minimum":17.0000,"maximum":50.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.0500,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.0300,"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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.7200,"methodology":"fee schedule"}]}]},{"description":"Histoplasma Antibody","code_information":[
                 { "code": "86698", "type": "CPT" } ],"standard_charges":[{"minimum":9.5000,"maximum":51.2100,"gross_charge":183.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":51.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":51.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.0800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","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":11.9100,"methodology":"fee schedule"}]}]},{"description":"Hiv-1antibody","code_information":[
                 { "code": "86701", "type": "CPT" } ],"standard_charges":[{"minimum":7.6800,"maximum":30.0000,"gross_charge":58.0000,"setting":"outpatient","payers_information":[{"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":9.6900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.7200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.6800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.7200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.4100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.4100,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Hiv-2 Antibody","code_information":[
                 { "code": "86702", "type": "CPT" } ],"standard_charges":[{"minimum":11.6800,"maximum":30.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.3700,"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":13.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.0900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.7700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":13.0900,"methodology":"fee schedule"}]}]},{"description":"Hiv-1\/hiv-2 1 Result Antbdy","code_information":[
                 { "code": "86703", "type": "CPT" } ],"standard_charges":[{"minimum":11.4500,"maximum":307.2000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"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":11.4500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.6500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.7100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":307.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.7100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.6500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"}]}]},{"description":"Hep B Core Antibody Total","code_information":[
                 { "code": "86704", "type": "CPT" } ],"standard_charges":[{"minimum":10.4200,"maximum":56.0000,"gross_charge":57.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.9700,"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":11.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":56.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":11.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"}]}]},{"description":"Hep B Core Antibody Igm","code_information":[
                 { "code": "86705", "type": "CPT" } ],"standard_charges":[{"minimum":10.1800,"maximum":35.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.2300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.2300,"methodology":"fee schedule"}]}]},{"description":"Hep B Surface Antibody","code_information":[
                 { "code": "86706", "type": "CPT" } ],"standard_charges":[{"minimum":9.2800,"maximum":32.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3800,"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":9.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.0100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC 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":10.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3800,"methodology":"fee schedule"}]}]},{"description":"Hepatitis Be Antibody","code_information":[
                 { "code": "86707", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":40.0000,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.5700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.5700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Hepatitis A Antibody","code_information":[
                 { "code": "86708", "type": "CPT" } ],"standard_charges":[{"minimum":10.7000,"maximum":55.0000,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.4900,"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":11.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.8100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":11.8100,"methodology":"fee schedule"}]}]},{"description":"Hepatitis A Igm Antibody","code_information":[
                 { "code": "86709", "type": "CPT" } ],"standard_charges":[{"minimum":9.7300,"maximum":35.0000,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.7300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.7300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.7300,"methodology":"fee schedule"}]}]},{"description":"Influenza Virus Antibody","code_information":[
                 { "code": "86710", "type": "CPT" } ],"standard_charges":[{"minimum":13.5500,"maximum":146.4900,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":146.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.5500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":116.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":146.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":142.8300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":19.4200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.9400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.5500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.9400,"methodology":"fee schedule"}]}]},{"description":"Legionella Antibody","code_information":[
                 { "code": "86713", "type": "CPT" } ],"standard_charges":[{"minimum":21.5300,"maximum":99.4900,"gross_charge":133.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":99.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":99.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.9200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":99.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":99.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.9200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.3900,"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":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.6000,"methodology":"fee schedule"}]}]},{"description":"Leishmania Antibody","code_information":[
                 { "code": "86717", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":25.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Leptospira Antibody","code_information":[
                 { "code": "86720", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":56.2400,"gross_charge":116.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":56.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":56.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.3400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.8200,"methodology":"fee schedule"}]}]},{"description":"Listeria Monocytogenes","code_information":[
                 { "code": "86723", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":25.0000,"gross_charge":200.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Lymph Choriomeningitis Ab","code_information":[
                 { "code": "86727", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":60.0000,"gross_charge":62.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.9800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.9800,"methodology":"fee schedule"}]}]},{"description":"Mumps Antibody","code_information":[
                 { "code": "86735", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":50.0000,"gross_charge":153.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":49.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.2800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":49.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.2300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","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":12.4400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.4400,"methodology":"fee schedule"}]}]},{"description":"Mycoplasma Antibody","code_information":[
                 { "code": "86738", "type": "CPT" } ],"standard_charges":[{"minimum":11.4400,"maximum":67.8600,"gross_charge":98.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.9700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.6300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":67.8600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":67.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.2400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":67.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":67.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.6300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.6300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.9700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.6400,"methodology":"fee schedule"}]}]},{"description":"Parvovirus Antibody","code_information":[
                 { "code": "86747", "type": "CPT" } ],"standard_charges":[{"minimum":15.0300,"maximum":90.0000,"gross_charge":187.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"}]}]},{"description":"Malaria Antibody","code_information":[
                 { "code": "86750", "type": "CPT" } ],"standard_charges":[{"minimum":17.9700,"maximum":300.0000,"gross_charge":319.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime 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":19.0000,"methodology":"fee schedule"}]}]},{"description":"Protozoa Antibody Nos","code_information":[
                 { "code": "86753", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":175.0000,"gross_charge":200.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.2200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.3400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.3400,"methodology":"fee schedule"}]}]},{"description":"Respiratory Virus Antibody","code_information":[
                 { "code": "86756", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":120.0000,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.2900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"}]}]},{"description":"Rickettsia Antibody","code_information":[
                 { "code": "86757", "type": "CPT" } ],"standard_charges":[{"minimum":19.0000,"maximum":27.7200,"gross_charge":220.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":26.3700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.0500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.7200,"methodology":"fee schedule"}]}]},{"description":"Rubella Antibody","code_information":[
                 { "code": "86762", "type": "CPT" } ],"standard_charges":[{"minimum":15.2300,"maximum":20.6200,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.2300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.2300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.7300,"methodology":"fee schedule"}]}]},{"description":"Rubeola Antibody","code_information":[
                 { "code": "86765", "type": "CPT" } ],"standard_charges":[{"minimum":18.1300,"maximum":55.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.0400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0000,"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 Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.0400,"methodology":"fee schedule"}]}]},{"description":"Sars-cov-2 Covid-19 Amp Prb","code_information":[
                 { "code": "86769", "type": "CPT" } ],"standard_charges":[{"minimum":25.0000,"maximum":62.0000,"gross_charge":156.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Tetanus Antibody","code_information":[
                 { "code": "86774", "type": "CPT" } ],"standard_charges":[{"minimum":20.1600,"maximum":30.0000,"gross_charge":91.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.1600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"}]}]},{"description":"Toxoplasma Antibody","code_information":[
                 { "code": "86777", "type": "CPT" } ],"standard_charges":[{"minimum":12.4400,"maximum":21.0000,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.3800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.7300,"methodology":"fee schedule"}]}]},{"description":"Toxoplasma Antibody Igm","code_information":[
                 { "code": "86778", "type": "CPT" } ],"standard_charges":[{"minimum":12.4500,"maximum":50.0000,"gross_charge":160.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":41.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.4500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":19.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.1200,"methodology":"fee schedule"},{"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":41.0000,"methodology":"fee schedule"}]}]},{"description":"Treponema Pallidum","code_information":[
                 { "code": "86780", "type": "CPT" } ],"standard_charges":[{"minimum":11.4400,"maximum":23.0000,"gross_charge":99.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.5700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.5700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.6200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.6200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.6200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.5700,"methodology":"fee schedule"}]}]},{"description":"Treponema Pallidum","code_information":[
                 { "code": "86781", "type": "CPT" } ],"standard_charges":[{"minimum":11.4400,"maximum":64.0000,"gross_charge":133.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"}]}]},{"description":"Trichinella Antibody","code_information":[
                 { "code": "86784", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":200.0000,"gross_charge":230.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.1100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":17.5500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Varicella-zoster Antibody","code_information":[
                 { "code": "86787", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":166.0000,"gross_charge":166.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.0400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":166.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Virus Antibody Nos","code_information":[
                 { "code": "86790", "type": "CPT" } ],"standard_charges":[{"minimum":12.8800,"maximum":34.0000,"gross_charge":225.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","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":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.1300,"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":12.2900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.2900,"methodology":"fee schedule"}]}]},{"description":"Yersinia Antibody","code_information":[
                 { "code": "86793", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":130.0000,"gross_charge":231.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.5800,"methodology":"fee schedule"}]}]},{"description":"Thyroglobulin Antibody","code_information":[
                 { "code": "86800", "type": "CPT" } ],"standard_charges":[{"minimum":3.6900,"maximum":40.0000,"gross_charge":240.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":33.6600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.7800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.6700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.9100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":22.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":3.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.1700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.9100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.1700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.7800,"methodology":"fee schedule"}]}]},{"description":"Hepatitis C Ab Test","code_information":[
                 { "code": "86803", "type": "CPT" } ],"standard_charges":[{"minimum":12.3300,"maximum":40.0000,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.6100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.4400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":19.9400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.4400,"methodology":"fee schedule"}]}]},{"description":"Hep C Ab Test Confirm","code_information":[
                 { "code": "86804", "type": "CPT" } ],"standard_charges":[{"minimum":14.7700,"maximum":210.0000,"gross_charge":235.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":210.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.7700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":21.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Hla Typing A B Or C","code_information":[
                 { "code": "86812", "type": "CPT" } ],"standard_charges":[{"minimum":22.3000,"maximum":100.0000,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.1300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.9600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":87.2400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":36.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":87.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.1300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":36.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.9600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":36.0600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.1300,"methodology":"fee schedule"}]}]},{"description":"Hla Typing A B Or C","code_information":[
                 { "code": "86813", "type": "CPT" } ],"standard_charges":[{"minimum":78.9900,"maximum":305.0000,"gross_charge":570.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":83.0600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":305.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":260.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":83.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":83.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":83.0600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":81.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":78.9900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":83.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":81.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"}]}]},{"description":"Rbc Antibody Screen","code_information":[
                 { "code": "86850", "type": "CPT" } ],"standard_charges":[{"minimum":5.2100,"maximum":60.4800,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.7700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.4800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.7700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Coombs Test Direct","code_information":[
                 { "code": "86880", "type": "CPT" } ],"standard_charges":[{"minimum":4.6600,"maximum":30.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.5000,"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":6.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Rbc Antibody Screen","code_information":[
                 { "code": "86885", "type": "CPT" } ],"standard_charges":[{"minimum":5.2100,"maximum":60.4800,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Blood Typing Serologic Abo","code_information":[
                 { "code": "86900", "type": "CPT" } ],"standard_charges":[{"minimum":2.5800,"maximum":15.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":2.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":2.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":2.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.5800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Blood Typing Serologic Rh(d)","code_information":[
                 { "code": "86901", "type": "CPT" } ],"standard_charges":[{"minimum":2.5800,"maximum":15.0000,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":2.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":2.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.1500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":2.9900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":2.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.8500,"methodology":"fee schedule"}]}]},{"description":"Blood Culture For Bacteria","code_information":[
                 { "code": "87040", "type": "CPT" } ],"standard_charges":[{"minimum":8.9200,"maximum":28.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.0000,"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":12.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.9200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.3200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.8500,"methodology":"fee schedule"}]}]},{"description":"Feces Culture Aerobic Bact","code_information":[
                 { "code": "87045", "type": "CPT" } ],"standard_charges":[{"minimum":8.1600,"maximum":25.0000,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.4000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.0000,"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":8.1600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.1800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"}]}]},{"description":"Stool Cultr Aerobic Bact Ea","code_information":[
                 { "code": "87046", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":13.5100,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":4.0000,"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 Medicare Avantage","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.2800,"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":13.1800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"}]}]},{"description":"Culture Othr Specimn Aerobic","code_information":[
                 { "code": "87070", "type": "CPT" } ],"standard_charges":[{"minimum":8.6200,"maximum":21.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.8100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.0300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":8.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":10.6400,"methodology":"fee schedule"}]}]},{"description":"Culture Aerobic Quant Other","code_information":[
                 { "code": "87071", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":65.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"}]}]},{"description":"Culture Bacteria Anaerobic","code_information":[
                 { "code": "87073", "type": "CPT" } ],"standard_charges":[{"minimum":8.1600,"maximum":30.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"}]}]},{"description":"Cultr Bacteria Except Blood","code_information":[
                 { "code": "87075", "type": "CPT" } ],"standard_charges":[{"minimum":9.4700,"maximum":24.0000,"gross_charge":91.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.5500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.3100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.2200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.5500,"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 Medicare Avantage","standard_charge_dollar":9.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.2200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.5500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.0300,"methodology":"fee schedule"}]}]},{"description":"Culture Anaerobe Ident Each","code_information":[
                 { "code": "87076", "type": "CPT" } ],"standard_charges":[{"minimum":6.9800,"maximum":50.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.5700,"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":6.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.7000,"methodology":"fee schedule"}]}]},{"description":"Culture Aerobic Identify","code_information":[
                 { "code": "87077", "type": "CPT" } ],"standard_charges":[{"minimum":11.0100,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.0100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"}]}]},{"description":"Culture Screen Only","code_information":[
                 { "code": "87081", "type": "CPT" } ],"standard_charges":[{"minimum":5.7300,"maximum":23.5000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross 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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.7300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","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":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.8600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":9.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.3300,"methodology":"fee schedule"}]}]},{"description":"Culture Of Specimen By Kit","code_information":[
                 { "code": "87084", "type": "CPT" } ],"standard_charges":[{"minimum":8.2200,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.9500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.2200,"methodology":"fee schedule"}]}]},{"description":"Urine Bacteria Culture","code_information":[
                 { "code": "87088", "type": "CPT" } ],"standard_charges":[{"minimum":6.9900,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.7200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.9900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":9.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.6000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.3100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Skin Fungi Culture","code_information":[
                 { "code": "87101", "type": "CPT" } ],"standard_charges":[{"minimum":10.5000,"maximum":25.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":10.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Fungus Isolation Culture","code_information":[
                 { "code": "87102", "type": "CPT" } ],"standard_charges":[{"minimum":8.4100,"maximum":28.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Blood Fungus Culture","code_information":[
                 { "code": "87103", "type": "CPT" } ],"standard_charges":[{"minimum":12.2900,"maximum":35.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.6000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.9200,"methodology":"fee schedule"}]}]},{"description":"Fungi Identification Yeast","code_information":[
                 { "code": "87106", "type": "CPT" } ],"standard_charges":[{"minimum":8.9200,"maximum":21.0000,"gross_charge":63.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"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":14.7900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.8500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.8500,"methodology":"fee schedule"}]}]},{"description":"Fungi Identification Mold","code_information":[
                 { "code": "87107", "type": "CPT" } ],"standard_charges":[{"minimum":14.0000,"maximum":25.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.4200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"}]}]},{"description":"Mycoplasma","code_information":[
                 { "code": "87109", "type": "CPT" } ],"standard_charges":[{"minimum":12.2800,"maximum":78.4900,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.7900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":78.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":78.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.7900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":20.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":78.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":78.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.3200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.1900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.3200,"methodology":"fee schedule"}]}]},{"description":"Chlamydia Culture","code_information":[
                 { "code": "87110", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":86.9900,"gross_charge":183.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":86.9900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":27.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":86.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":84.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.3700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"}]}]},{"description":"Mycobacteria Culture","code_information":[
                 { "code": "87116", "type": "CPT" } ],"standard_charges":[{"minimum":9.3400,"maximum":56.0000,"gross_charge":17.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.7100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":56.0000,"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":10.3000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.4800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":13.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.1000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":10.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.4800,"methodology":"fee schedule"}]}]},{"description":"Culture Type Immunologic","code_information":[
                 { "code": "87147", "type": "CPT" } ],"standard_charges":[{"minimum":7.0500,"maximum":10.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"}]}]},{"description":"Culture Typing Added Method","code_information":[
                 { "code": "87158", "type": "CPT" } ],"standard_charges":[{"minimum":4.9900,"maximum":10.3100,"gross_charge":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.3100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.9900,"methodology":"fee schedule"}]}]},{"description":"Pinworm Exam","code_information":[
                 { "code": "87172", "type": "CPT" } ],"standard_charges":[{"minimum":3.6900,"maximum":15.7600,"gross_charge":10.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.0700,"methodology":"fee schedule"}]}]},{"description":"Ova And Parasites Smears","code_information":[
                 { "code": "87177", "type": "CPT" } ],"standard_charges":[{"minimum":3.5000,"maximum":12.7400,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.2300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":10.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.9000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Sc Std Agar Dilution Per Agt","code_information":[
                 { "code": "87181", "type": "CPT" } ],"standard_charges":[{"minimum":4.1000,"maximum":10.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.2900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.5300,"methodology":"fee schedule"}]}]},{"description":"Sc Std Disk Method Per Plate","code_information":[
                 { "code": "87184", "type": "CPT" } ],"standard_charges":[{"minimum":5.0000,"maximum":8.3300,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.9200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Sc Std Microdil\/agar Dil","code_information":[
                 { "code": "87186", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":50.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":12.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.7800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.0800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Sc Std Myobacteria Prop Meth","code_information":[
                 { "code": "87190", "type": "CPT" } ],"standard_charges":[{"minimum":5.1200,"maximum":60.7400,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.7400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.9000,"methodology":"fee schedule"},{"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":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.3900,"methodology":"fee schedule"}]}]},{"description":"Smear Gram Stain","code_information":[
                 { "code": "87205", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":8.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.7700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.6900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.7700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC 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":4.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"}]}]},{"description":"Smear Fluorescent\/acid Stai","code_information":[
                 { "code": "87206", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":25.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"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":5.1300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.7000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.1300,"methodology":"fee schedule"}]}]},{"description":"Smear Special Stain","code_information":[
                 { "code": "87207", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":20.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross 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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.7100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":8.4400,"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 Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.7100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":8.3700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.5800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.7100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":6.0000,"methodology":"fee schedule"}]}]},{"description":"Smear Wet Mount Saline\/ink","code_information":[
                 { "code": "87210", "type": "CPT" } ],"standard_charges":[{"minimum":2.9300,"maximum":10.0000,"gross_charge":21.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.9300,"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 Prime Commercial","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.9300,"methodology":"fee schedule"}]}]},{"description":"Tissue Exam For Fungi","code_information":[
                 { "code": "87220", "type": "CPT" } ],"standard_charges":[{"minimum":3.6900,"maximum":20.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.0700,"methodology":"fee schedule"}]}]},{"description":"Virus Inoculation Tissue","code_information":[
                 { "code": "87252", "type": "CPT" } ],"standard_charges":[{"minimum":22.5300,"maximum":60.0000,"gross_charge":187.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":37.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.6800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":37.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.6800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":37.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":37.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":37.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":36.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":37.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":36.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":36.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.6800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":37.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.8600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.8600,"methodology":"fee schedule"}]}]},{"description":"Influenza B Ag If","code_information":[
                 { "code": "87275", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":40.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.3500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.3500,"methodology":"fee schedule"}]}]},{"description":"Influenza A Ag If","code_information":[
                 { "code": "87276", "type": "CPT" } ],"standard_charges":[{"minimum":11.2500,"maximum":40.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.3500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"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":11.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.7500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.3500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"}]}]},{"description":"Respiratory Syncytial Ag If","code_information":[
                 { "code": "87280", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":25.0000,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Pneumocystis Carinii Ag If","code_information":[
                 { "code": "87281", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":25.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Antibody Detection Nos If","code_information":[
                 { "code": "87299", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":25.0000,"gross_charge":165.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"}]}]},{"description":"Adenovirus Ag Ia","code_information":[
                 { "code": "87301", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":25.0000,"gross_charge":550.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Aspergillus Ag Ia","code_information":[
                 { "code": "87305", "type": "CPT" } ],"standard_charges":[{"minimum":11.9800,"maximum":24.0000,"gross_charge":390.0000,"setting":"outpatient","payers_information":[{"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":15.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM 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":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"}]}]},{"description":"Chylmd Trach Ag Ia","code_information":[
                 { "code": "87320", "type": "CPT" } ],"standard_charges":[{"minimum":11.2500,"maximum":25.0000,"gross_charge":31.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical 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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Clostridium Ag Ia","code_information":[
                 { "code": "87324", "type": "CPT" } ],"standard_charges":[{"minimum":11.9800,"maximum":50.0000,"gross_charge":166.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"}]}]},{"description":"Cryptococcus Neoform Ag Ia","code_information":[
                 { "code": "87327", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":25.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"}]}]},{"description":"Cryptosporidium Ag Ia","code_information":[
                 { "code": "87328", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":60.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.8200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.8200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"}]}]},{"description":"Giardia Ag Ia","code_information":[
                 { "code": "87329", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":500.0000,"gross_charge":77.0000,"setting":"outpatient","payers_information":[{"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":10.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"}]}]},{"description":"Cytomegalovirus Ag Ia","code_information":[
                 { "code": "87332", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":25.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"}]}]},{"description":"Protozoa Antibody Nos","code_information":[
                 { "code": "87336", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":15.0000,"gross_charge":185.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Hpylori Stool Ag Ia","code_information":[
                 { "code": "87338", "type": "CPT" } ],"standard_charges":[{"minimum":12.4300,"maximum":23.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.3700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":20.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.6000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.3800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.3700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.7100,"methodology":"fee schedule"}]}]},{"description":"H Pylori Ag Ia","code_information":[
                 { "code": "87339", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":25.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"}]}]},{"description":"Hepatitis B Surface Ag Ia","code_information":[
                 { "code": "87340", "type": "CPT" } ],"standard_charges":[{"minimum":8.9300,"maximum":20.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.8500,"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":8.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.8500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":14.4300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.4300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.8500,"methodology":"fee schedule"}]}]},{"description":"Hepatitis Be Ag Ia","code_information":[
                 { "code": "87350", "type": "CPT" } ],"standard_charges":[{"minimum":9.9600,"maximum":26.0000,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.9900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.5100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.9600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.5100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.5100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Hepatitis Delta Agent Ag Ia","code_information":[
                 { "code": "87380", "type": "CPT" } ],"standard_charges":[{"minimum":15.2500,"maximum":23.1000,"gross_charge":47.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":23.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.1000,"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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.1000,"methodology":"fee schedule"}]}]},{"description":"Histoplasma Capsul Ag Ia","code_information":[
                 { "code": "87385", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":115.0000,"gross_charge":210.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":115.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Hiv-1 Ag Ia","code_information":[
                 { "code": "87390", "type": "CPT" } ],"standard_charges":[{"minimum":24.0300,"maximum":120.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.0300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.2700,"methodology":"fee schedule"}]}]},{"description":"Influenza A\/b Each Ag Ia","code_information":[
                 { "code": "87400", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":25.0000,"gross_charge":116.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"}]}]},{"description":"Resp Syncytial Virus Ag Ia","code_information":[
                 { "code": "87420", "type": "CPT" } ],"standard_charges":[{"minimum":15.0000,"maximum":15.3300,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","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":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"}]}]},{"description":"Rotavirus Ag Ia","code_information":[
                 { "code": "87425", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":25.0000,"gross_charge":49.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"}]}]},{"description":"Sars-cov-2 Covid-19 Amp Prb","code_information":[
                 { "code": "87426", "type": "CPT" } ],"standard_charges":[{"minimum":13.4400,"maximum":45.2300,"gross_charge":21.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":31.6600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage 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":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","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":13.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":13.4400,"methodology":"fee schedule"}]}]},{"description":"Shiga-like Toxin Ag Ia","code_information":[
                 { "code": "87427", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"}]}]},{"description":"Strep A Ag Ia","code_information":[
                 { "code": "87430", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":15.2200,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Nos Each Organism Ag Ia","code_information":[
                 { "code": "87449", "type": "CPT" } ],"standard_charges":[{"minimum":8.3800,"maximum":80.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"}]}]},{"description":"Lyme Dis Dna Amp Probe","code_information":[
                 { "code": "87476", "type": "CPT" } ],"standard_charges":[{"minimum":30.3300,"maximum":50.2700,"gross_charge":700.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.4600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":33.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"}]}]},{"description":"Chylmd Trach Dna Amp Probe","code_information":[
                 { "code": "87491", "type": "CPT" } ],"standard_charges":[{"minimum":27.3200,"maximum":68.0000,"gross_charge":88.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":50.2700,"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":49.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":49.8500,"methodology":"fee schedule"}]}]},{"description":"Chylmd Trach Dna Quant","code_information":[
                 { "code": "87492", "type": "CPT" } ],"standard_charges":[{"minimum":47.6200,"maximum":95.0000,"gross_charge":180.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":49.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":50.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":50.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.6200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":48.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":48.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.0700,"methodology":"fee schedule"}]}]},{"description":"Cytomeg Dna Amp Probe","code_information":[
                 { "code": "87496", "type": "CPT" } ],"standard_charges":[{"minimum":47.8100,"maximum":50.2700,"gross_charge":450.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"}]}]},{"description":"Cytomeg Dna Quant","code_information":[
                 { "code": "87497", "type": "CPT" } ],"standard_charges":[{"minimum":40.8500,"maximum":61.3500,"gross_charge":500.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.8500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":59.8500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":59.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"}]}]},{"description":"Enterovirus Proberevrs Trns","code_information":[
                 { "code": "87498", "type": "CPT" } ],"standard_charges":[{"minimum":49.3900,"maximum":70.0000,"gross_charge":475.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva 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":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage 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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"}]}]},{"description":"Gardner Vag Dna Dir Probe","code_information":[
                 { "code": "87510", "type": "CPT" } ],"standard_charges":[{"minimum":27.3200,"maximum":30.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"}]}]},{"description":"Gardner Vag Dna Amp Probe","code_information":[
                 { "code": "87511", "type": "CPT" } ],"standard_charges":[{"minimum":47.8100,"maximum":50.2700,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"}]}]},{"description":"Hepatitis B Dna Amp Probe","code_information":[
                 { "code": "87516", "type": "CPT" } ],"standard_charges":[{"minimum":30.3300,"maximum":215.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":78.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":43.0200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":172.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":43.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":78.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":43.0200,"methodology":"fee schedule"}]}]},{"description":"Hepatitis B Dna Quant","code_information":[
                 { "code": "87517", "type": "CPT" } ],"standard_charges":[{"minimum":37.0200,"maximum":165.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":40.8500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":37.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":40.8500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":59.8500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":59.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":40.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"}]}]},{"description":"Hepatitis C Rna Dir Probe","code_information":[
                 { "code": "87520", "type": "CPT" } ],"standard_charges":[{"minimum":27.3200,"maximum":30.0000,"gross_charge":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"}]}]},{"description":"Hepatitis C Probervrs Trnsc","code_information":[
                 { "code": "87521", "type": "CPT" } ],"standard_charges":[{"minimum":30.3300,"maximum":200.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":78.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":52.0400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":52.0400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":78.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":33.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"}]}]},{"description":"Hepatitis C Revrs Trnscrpj","code_information":[
                 { "code": "87522", "type": "CPT" } ],"standard_charges":[{"minimum":37.0200,"maximum":195.0000,"gross_charge":285.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":193.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":52.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":195.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":37.0200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":59.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":193.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":52.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":59.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":52.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"}]}]},{"description":"Hsv Dna Dir Probe","code_information":[
                 { "code": "87528", "type": "CPT" } ],"standard_charges":[{"minimum":27.3200,"maximum":30.0000,"gross_charge":374.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"}]}]},{"description":"Hsv Dna Amp Probe","code_information":[
                 { "code": "87529", "type": "CPT" } ],"standard_charges":[{"minimum":35.0900,"maximum":50.2700,"gross_charge":374.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"}]}]},{"description":"Hiv-1 Probereverse Trnscrpj","code_information":[
                 { "code": "87535", "type": "CPT" } ],"standard_charges":[{"minimum":35.0900,"maximum":50.2700,"gross_charge":270.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.8100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"}]}]},{"description":"Hiv-1 Quantrevrse Trnscrpj","code_information":[
                 { "code": "87536", "type": "CPT" } ],"standard_charges":[{"minimum":73.5400,"maximum":250.0000,"gross_charge":270.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":81.1400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":121.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":121.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":73.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":115.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":121.8800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":118.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":115.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":81.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":118.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":121.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":121.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":81.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"}]}]},{"description":"M.tuberculo Dna Amp Probe","code_information":[
                 { "code": "87556", "type": "CPT" } ],"standard_charges":[{"minimum":47.8100,"maximum":370.0000,"gross_charge":444.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":370.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.8100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"}]}]},{"description":"M.pneumon Dna Amp Probe","code_information":[
                 { "code": "87581", "type": "CPT" } ],"standard_charges":[{"minimum":47.8000,"maximum":50.2700,"gross_charge":325.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.8100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.2700,"methodology":"fee schedule"}]}]},{"description":"N.gonorrhoeae Dna Dir Prob","code_information":[
                 { "code": "87590", "type": "CPT" } ],"standard_charges":[{"minimum":18.8200,"maximum":32.0000,"gross_charge":31.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.1200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"}]}]},{"description":"N.gonorrhoeae Dna Amp Prob","code_information":[
                 { "code": "87591", "type": "CPT" } ],"standard_charges":[{"minimum":30.3300,"maximum":50.0000,"gross_charge":88.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross 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 Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":31.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare 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":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":31.2000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":49.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":31.2000,"methodology":"fee schedule"}]}]},{"description":"N.gonorrhoeae Dna Quant","code_information":[
                 { "code": "87592", "type": "CPT" } ],"standard_charges":[{"minimum":58.3500,"maximum":70.0000,"gross_charge":193.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":59.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":59.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"}]}]},{"description":"Sars-cov-2 Covid-19 Amp Prb","code_information":[
                 { "code": "87634", "type": "CPT" } ],"standard_charges":[{"minimum":51.0000,"maximum":76.3300,"gross_charge":175.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":60.6600,"methodology":"fee schedule"}]}]},{"description":"Sars-cov-2 Covid-19 Amp Prb","code_information":[
                 { "code": "87635", "type": "CPT" } ],"standard_charges":[{"minimum":51.0000,"maximum":76.3300,"gross_charge":175.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":51.3100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":51.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":76.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":76.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"}]}]},{"description":"Detect Agent Nos Dna Amp","code_information":[
                 { "code": "87797", "type": "CPT" } ],"standard_charges":[{"minimum":19.1200,"maximum":30.0300,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":30.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.1200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.0200,"methodology":"fee schedule"}]}]},{"description":"Detect Agent Nos Dna Amp","code_information":[
                 { "code": "87798", "type": "CPT" } ],"standard_charges":[{"minimum":30.3300,"maximum":52.0000,"gross_charge":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":33.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","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":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":49.3900,"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":33.4600,"methodology":"fee schedule"}]}]},{"description":"Clostridium Toxin A W\/optic","code_information":[
                 { "code": "87803", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":30.0000,"gross_charge":166.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"}]}]},{"description":"Influenza Assay W\/optic","code_information":[
                 { "code": "87804", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":40.0000,"gross_charge":65.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.9000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":16.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.9000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.5500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.5500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"}]}]},{"description":"Chlmyd Trach Assay W\/optic","code_information":[
                 { "code": "87810", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":25.0000,"gross_charge":180.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"}]}]},{"description":"N. Gonorrhoeae Assay W\/optic","code_information":[
                 { "code": "87850", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":30.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"}]}]},{"description":"Agent Nos Assay W\/optic","code_information":[
                 { "code": "87899", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":105.0000,"gross_charge":116.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"}]}]},{"description":"Nfct Agt Gntyp Alys Hiv1 Rev","code_information":[
                 { "code": "87901", "type": "CPT" } ],"standard_charges":[{"minimum":145.0000,"maximum":368.7300,"gross_charge":456.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":368.7300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":180.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":368.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":368.7300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":257.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":257.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":222.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":368.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":175.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":359.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":368.7300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":359.6900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":175.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"}]}]},{"description":"Nfct Agt Gntyp Alys Hep C","code_information":[
                 { "code": "87902", "type": "CPT" } ],"standard_charges":[{"minimum":195.0000,"maximum":368.7300,"gross_charge":330.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":195.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":368.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":368.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":222.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":368.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":350.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":355.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":350.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":195.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":359.6900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":359.6900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":368.7300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":195.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":368.7300,"methodology":"fee schedule"}]}]},{"description":"Phenotype Dna Hiv W\/culture","code_information":[
                 { "code": "87903", "type": "CPT" } ],"standard_charges":[{"minimum":665.6500,"maximum":699.8800,"gross_charge":816.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":699.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":680.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":699.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":680.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":699.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":699.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":699.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":665.6500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":682.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":699.8800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":682.7200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":699.8800,"methodology":"fee schedule"}]}]},{"description":"Flowcytometry\/ Tc 1 Marker","code_information":[
                 { "code": "88184", "type": "CPT" } ],"standard_charges":[{"minimum":35.0000,"maximum":41.5200,"gross_charge":240.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":41.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":41.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":41.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":41.5200,"methodology":"fee schedule"}]}]},{"description":"Flowcytometry\/tc Add-on","code_information":[
                 { "code": "88185", "type": "CPT" } ],"standard_charges":[{"minimum":22.1400,"maximum":22.1400,"gross_charge":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.1400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":22.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":22.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.1400,"methodology":"fee schedule"}]}]},{"description":"Tissue Culture Lymphocyte","code_information":[
                 { "code": "88230", "type": "CPT" } ],"standard_charges":[{"minimum":29.4300,"maximum":29.4300,"gross_charge":320.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":413.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":413.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":28.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":413.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.4300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.7100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.5900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.5900,"methodology":"fee schedule"}]}]},{"description":"Tissue Culture Placenta","code_information":[
                 { "code": "88235", "type": "CPT" } ],"standard_charges":[{"minimum":24.5300,"maximum":568.4900,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":568.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":568.4900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.9200,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.9200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":24.5300,"methodology":"fee schedule"}]}]},{"description":"Tissue Culture Bone Marrow","code_information":[
                 { "code": "88237", "type": "CPT" } ],"standard_charges":[{"minimum":15.0000,"maximum":65.7900,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":36.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.8300,"methodology":"fee schedule"}]}]},{"description":"Chromosome Analysis 15-20","code_information":[
                 { "code": "88262", "type": "CPT" } ],"standard_charges":[{"minimum":118.8500,"maximum":178.5300,"gross_charge":550.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":177.1400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":118.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":118.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":177.1400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":174.1400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":174.1400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":118.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":118.8500,"methodology":"fee schedule"}]}]},{"description":"Chromosome Analysis 20-25","code_information":[
                 { "code": "88264", "type": "CPT" } ],"standard_charges":[{"minimum":118.8500,"maximum":550.0000,"gross_charge":550.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":118.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":118.8500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":174.1400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":174.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":178.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":118.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":118.8500,"methodology":"fee schedule"}]}]},{"description":"Chromosome Analys Placenta","code_information":[
                 { "code": "88267", "type": "CPT" } ],"standard_charges":[{"minimum":244.8900,"maximum":510.0000,"gross_charge":550.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":510.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":257.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":257.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":257.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":510.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":257.4800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":251.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":257.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":244.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":257.4800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":251.1700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":257.4800,"methodology":"fee schedule"}]}]},{"description":"Chromosome Analys Amniotic","code_information":[
                 { "code": "88269", "type": "CPT" } ],"standard_charges":[{"minimum":173.6000,"maximum":550.0000,"gross_charge":552.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":173.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":173.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":173.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":173.6000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":232.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":173.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":226.5700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":232.3800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":173.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":173.6000,"methodology":"fee schedule"}]}]},{"description":"Cytogenetics Dna Probe","code_information":[
                 { "code": "88271", "type": "CPT" } ],"standard_charges":[{"minimum":17.2600,"maximum":460.0000,"gross_charge":500.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.9200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":25.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":25.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.2800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.2600,"methodology":"fee schedule"}]}]},{"description":"Cytogenetics 25-99","code_information":[
                 { "code": "88274", "type": "CPT" } ],"standard_charges":[{"minimum":47.4100,"maximum":800.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":49.8600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":800.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":49.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":49.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":49.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":49.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":47.4100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":48.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":49.8600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":48.6300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":49.8600,"methodology":"fee schedule"}]}]},{"description":"Chromosome Karyotype Study","code_information":[
                 { "code": "88280", "type": "CPT" } ],"standard_charges":[{"minimum":34.1900,"maximum":60.0000,"gross_charge":660.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.9500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.9500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":35.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":34.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.9500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.9500,"methodology":"fee schedule"}]}]},{"description":"Chromosome Banding Study","code_information":[
                 { "code": "88283", "type": "CPT" } ],"standard_charges":[{"minimum":71.2300,"maximum":550.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":74.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":74.9000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":74.9000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":74.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":74.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":73.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":74.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":71.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":74.9000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":73.0600,"methodology":"fee schedule"}]}]},{"description":"Chromosome Count Additional","code_information":[
                 { "code": "88285", "type": "CPT" } ],"standard_charges":[{"minimum":25.8800,"maximum":45.0000,"gross_charge":495.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.2100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.2100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":27.2100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":26.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":27.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.8800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.2100,"methodology":"fee schedule"}]}]},{"description":"Cyto\/molecular Report","code_information":[
                 { "code": "88291", "type": "CPT" } ],"standard_charges":[{"minimum":402.2900,"maximum":495.0000,"gross_charge":319.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":495.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":495.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":495.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":495.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":495.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":402.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":495.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":495.0000,"methodology":"fee schedule"}]}]},{"description":"Unlisted Cytogenetic Study","code_information":[
                 { "code": "88299", "type": "CPT" } ],"standard_charges":[{"minimum":319.0000,"maximum":319.0000,"gross_charge":38.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":319.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":319.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":319.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":319.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":319.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":319.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":319.0000,"methodology":"fee schedule"}]}]},{"description":"Body Fluid Cell Count","code_information":[
                 { "code": "89050", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":21.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1500,"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":4.5100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.5100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.7200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.6100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.5100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Body Fluid Cell Count","code_information":[
                 { "code": "89051", "type": "CPT" } ],"standard_charges":[{"minimum":5.4900,"maximum":11.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":11.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"}]}]},{"description":"Leukocyte Assessment Fecal","code_information":[
                 { "code": "89055", "type": "CPT" } ],"standard_charges":[{"minimum":4.2700,"maximum":10.0000,"gross_charge":11.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Specimen Fat Stain","code_information":[
                 { "code": "89125", "type": "CPT" } ],"standard_charges":[{"minimum":4.1200,"maximum":8.5400,"gross_charge":21.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.5400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1900,"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":4.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","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":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.5400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.0300,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.1900,"methodology":"fee schedule"}]}]},{"description":"Exam Feces For Meat Fibers","code_information":[
                 { "code": "89160", "type": "CPT" } ],"standard_charges":[{"minimum":1.5000,"maximum":7.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.2800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":1.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.7600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Nasal Smear For Eosinophils","code_information":[
                 { "code": "89190", "type": "CPT" } ],"standard_charges":[{"minimum":2.4100,"maximum":10.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":2.4700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.0500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":2.4700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.4100,"methodology":"fee schedule"}]}]},{"description":"Semen Anal Vol\/count\/mot","code_information":[
                 { "code": "89320", "type": "CPT" } ],"standard_charges":[{"minimum":9.7500,"maximum":30.0000,"gross_charge":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.2600,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"}]}]},{"description":"Sperm Antibody Test","code_information":[
                 { "code": "89325", "type": "CPT" } ],"standard_charges":[{"minimum":10.1800,"maximum":70.0000,"gross_charge":212.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"}]}]},{"description":"Cv Stress Test Supvj Ir","code_information":[
                 { "code": "93015", "type": "CPT" } ],"standard_charges":[{"minimum":15.1400,"maximum":150.0000,"gross_charge":150.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":114.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":73.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":61.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":71.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":97.7500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":15.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":61.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":114.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":61.6000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"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":132.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"Cv Stress Test Supvj Only","code_information":[
                 { "code": "93016", "type": "CPT" } ],"standard_charges":[{"minimum":21.0100,"maximum":35.1600,"gross_charge":50.0000,"setting":"both","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":22.7100,"methodology":"fee schedule"}]}]},{"description":"Cv Stress Test Supvj Only","code_information":[
                 { "code": "93017", "type": "CPT" } ],"standard_charges":[{"minimum":21.0100,"maximum":35.1600,"gross_charge":50.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Advantage Medicare Avantage","standard_charge_dollar":35.1600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":71.1600,"methodology":"fee schedule"}]}]},{"description":"Cv Stress Test Ir Only","code_information":[
                 { "code": "93018", "type": "CPT" } ],"standard_charges":[{"minimum":13.8900,"maximum":22.7100,"gross_charge":50.0000,"setting":"both","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.8900,"methodology":"fee schedule"}]}]},{"description":"Extracranial Bilat Study","code_information":[
                 { "code": "93880", "type": "CPT" } ],"standard_charges":[{"minimum":122.0000,"maximum":263.7400,"gross_charge":514.4200,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":263.7400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":194.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":130.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":166.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":145.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":155.8800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":129.0800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":129.0800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":130.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":122.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"}]}]},{"description":"Extracranial Uni\/ltd Study","code_information":[
                 { "code": "93882", "type": "CPT" } ],"standard_charges":[{"minimum":85.0000,"maximum":136.4100,"gross_charge":368.2800,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":136.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":121.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":121.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":112.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":121.8400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":126.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":120.2800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":120.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":109.5400,"methodology":"fee schedule"}]}]},{"description":"Intracranial Complete Study","code_information":[
                 { "code": "93886", "type": "CPT" } ],"standard_charges":[{"minimum":132.0000,"maximum":362.9000,"gross_charge":803.1000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":362.9000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":280.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":146.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":166.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":274.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":146.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":236.6900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":144.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":280.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":228.7400,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":144.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":146.5100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":153.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"}]}]},{"description":"Intracranial Limited Study","code_information":[
                 { "code": "93888", "type": "CPT" } ],"standard_charges":[{"minimum":69.9000,"maximum":280.0000,"gross_charge":468.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":280.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":179.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":70.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":201.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":132.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":70.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":69.9000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":70.8000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":69.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":280.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":124.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"}]}]},{"description":"Upr\/l Xtremity Art 2 Levels","code_information":[
                 { "code": "93922", "type": "CPT" } ],"standard_charges":[{"minimum":49.5000,"maximum":106.2500,"gross_charge":199.0600,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":106.2500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":66.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":83.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":66.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":72.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":73.0600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":73.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":66.3500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":84.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Upr\/lxtr Art Stdy 3 Lvls","code_information":[
                 { "code": "93923", "type": "CPT" } ],"standard_charges":[{"minimum":90.0000,"maximum":185.3600,"gross_charge":310.1800,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":115.3600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":185.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":126.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":115.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":140.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":130.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":103.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":100.2700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":113.5900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":113.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":115.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":108.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":101.1400,"methodology":"fee schedule"}]}]},{"description":"Lwr Xtr Vasc Stdy Bilat","code_information":[
                 { "code": "93924", "type": "CPT" } ],"standard_charges":[{"minimum":105.3000,"maximum":240.0000,"gross_charge":387.2400,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":220.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":129.0800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":240.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":159.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":129.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":147.3100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":142.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":240.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":105.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":129.0800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":142.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":149.6500,"methodology":"fee schedule"}]}]},{"description":"Lower Extremity Study","code_information":[
                 { "code": "93925", "type": "CPT" } ],"standard_charges":[{"minimum":120.0000,"maximum":318.3800,"gross_charge":544.8600,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":138.8600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":318.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":243.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":206.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":243.9900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":243.9900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":127.7900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":177.2700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":127.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":206.7200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":155.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":179.0100,"methodology":"fee schedule"}]}]},{"description":"Lower Extremity Study","code_information":[
                 { "code": "93926", "type": "CPT" } ],"standard_charges":[{"minimum":75.0000,"maximum":161.9600,"gross_charge":313.7200,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":161.9600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":129.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":88.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":129.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":129.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":124.3900,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":81.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":143.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":81.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":93.6700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"}]}]},{"description":"Upper Extremity Study","code_information":[
                 { "code": "93930", "type": "CPT" } ],"standard_charges":[{"minimum":99.0000,"maximum":248.2200,"gross_charge":511.9000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":147.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":248.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":124.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":183.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":124.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":198.9100,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":122.9300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":122.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":124.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":160.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":147.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":99.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"}]}]},{"description":"Upper Extremity Study","code_information":[
                 { "code": "93931", "type": "CPT" } ],"standard_charges":[{"minimum":73.1400,"maximum":168.0000,"gross_charge":342.7000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":161.6100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":168.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":80.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":125.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":80.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":112.3600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":78.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":168.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":73.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":80.3200,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":78.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":118.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"}]}]},{"description":"Extremity Study","code_information":[
                 { "code": "93970", "type": "CPT" } ],"standard_charges":[{"minimum":120.0000,"maximum":250.6400,"gross_charge":413.2800,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":250.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":157.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":134.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":191.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":185.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":182.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":203.1400,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":132.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":157.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":158.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":132.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":133.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":137.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":135.6500,"methodology":"fee schedule"}]}]},{"description":"Extremity Study","code_information":[
                 { "code": "93971", "type": "CPT" } ],"standard_charges":[{"minimum":60.0000,"maximum":152.6400,"gross_charge":250.6600,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":152.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":121.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":104.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":121.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":83.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":84.5100,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":84.5100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":121.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":149.3700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":104.0000,"methodology":"fee schedule"}]}]},{"description":"Vascular Study","code_information":[
                 { "code": "93975", "type": "CPT" } ],"standard_charges":[{"minimum":140.0000,"maximum":355.5500,"gross_charge":803.2600,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":355.5500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":252.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":181.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":270.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":181.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":235.3600,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":180.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":214.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":252.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":181.6300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":180.7800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":162.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"}]}]},{"description":"Vascular Study","code_information":[
                 { "code": "93976", "type": "CPT" } ],"standard_charges":[{"minimum":84.0000,"maximum":240.0000,"gross_charge":471.7800,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":240.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":192.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":156.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":117.9600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":145.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":156.5700,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":155.2600,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":155.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":156.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":240.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":105.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":149.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"}]}]},{"description":"Vascular Study","code_information":[
                 { "code": "93978", "type": "CPT" } ],"standard_charges":[{"minimum":100.5500,"maximum":244.0300,"gross_charge":500.2000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.5500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":244.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":132.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":183.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":198.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":173.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":145.3800,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":131.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":198.2900,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":131.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":113.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"}]}]},{"description":"Vascular Study","code_information":[
                 { "code": "93979", "type": "CPT" } ],"standard_charges":[{"minimum":73.1400,"maximum":168.0000,"gross_charge":345.8400,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":168.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":154.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":85.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":86.9500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":85.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":118.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":85.7500,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":84.1700,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":84.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":168.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":73.1400,"methodology":"fee schedule"},{"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":104.5700,"methodology":"fee schedule"}]}]},{"description":"Penile Vascular Study","code_information":[
                 { "code": "93980", "type": "CPT" } ],"standard_charges":[{"minimum":117.2500,"maximum":400.0000,"gross_charge":371.8200,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":192.6700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":400.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":123.9400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":117.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":123.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":130.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":175.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":400.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":130.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":123.9400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":245.7500,"methodology":"fee schedule"}]}]},{"description":"Scr Mammo Bi Incl Cad","code_information":[
                 { "code": "G0202", "type": "CPT" } ],"standard_charges":[{"minimum":65.0000,"maximum":141.1600,"gross_charge":220.0000,"setting":"both","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":101.0500,"methodology":"fee schedule"}]}]},{"description":"Dx Mammo Incl Cad Bi","code_information":[
                 { "code": "G0204", "type": "CPT" } ],"standard_charges":[{"minimum":80.0000,"maximum":175.1600,"gross_charge":244.0000,"setting":"both","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":123.3000,"methodology":"fee schedule"}]}]},{"description":"Dx Mammo Incl Cad Uni","code_information":[
                 { "code": "G0206", "type": "CPT" } ],"standard_charges":[{"minimum":50.0000,"maximum":153.6700,"gross_charge":220.0000,"setting":"both","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":97.3600,"methodology":"fee schedule"}]}]},{"description":"Breast Tomosynthesis Uni","code_information":[
                 { "code": "G0279", "type": "CPT" } ],"standard_charges":[{"minimum":42.6600,"maximum":80.0000,"gross_charge":50.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":42.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":42.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":53.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":53.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":58.2800,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":48.8000,"methodology":"fee schedule"}]}]},{"description":"Specimen Collect Covid-19","code_information":[
                 { "code": "G2023", "type": "CPT" } ],"standard_charges":[{"minimum":25.0000,"maximum":25.0000,"gross_charge":5.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Sars-cov-2 Covid-19 Amp Prb","code_information":[
                 { "code": "U0002", "type": "CPT" } ],"standard_charges":[{"minimum":25.0000,"maximum":62.0000,"gross_charge":156.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Tricare","plan_name":"Tricare Prime Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"AETNA","plan_name":"AETNA Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"}]}]}]}