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                 { "code": "73580", "type": "CPT" } ],"standard_charges":[{"minimum":88.0000,"maximum":130.1600,"gross_charge":150.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":130.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":119.7800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":130.1600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":130.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":119.7800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":130.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":88.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":125.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":130.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":130.1600,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Lower Leg","code_information":[
                 { "code": "73590", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":35.0000,"gross_charge":35.0000,"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":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.2200,"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":30.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.2600,"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":31.2200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.2200,"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 Medicare Avantage","standard_charge_dollar":29.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":31.2200,"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"},{"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":30.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":31.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.2200,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Ankle","code_information":[
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                 { "code": "77081", "type": "CPT" } ],"standard_charges":[{"minimum":21.4600,"maximum":95.0000,"gross_charge":100.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":33.0200,"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":31.2100,"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":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":33.0200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":33.0200,"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 Medicare Avantage","standard_charge_dollar":28.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":52.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":33.0200,"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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":33.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.0200,"methodology":"fee schedule"}]}]},{"description":"Parathyroid Planar Imaging","code_information":[
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                 { "code": "78227", "type": "CPT" } ],"standard_charges":[{"minimum":164.8800,"maximum":503.9000,"gross_charge":180.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":503.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":380.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":333.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":407.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":407.2400,"methodology":"fee schedule"}]}]},{"description":"Gastric Emptying Img Study","code_information":[
                 { "code": "78264", "type": "CPT" } ],"standard_charges":[{"minimum":35.6200,"maximum":207.9800,"gross_charge":180.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":35.6200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"}]}]},{"description":"Acute Gi Blood Loss Imaging","code_information":[
                 { "code": "78278", "type": "CPT" } ],"standard_charges":[{"minimum":160.2000,"maximum":259.4800,"gross_charge":270.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":160.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":259.4800,"methodology":"fee schedule"}]}]},{"description":"Bone Imaging Whole Body","code_information":[
                 { "code": "78306", "type": "CPT" } ],"standard_charges":[{"minimum":150.0000,"maximum":183.9600,"gross_charge":252.0000,"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":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"Bone Imaging 3 Phase","code_information":[
                 { "code": "78315", "type": "CPT" } ],"standard_charges":[{"minimum":153.0000,"maximum":302.6200,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":302.6200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":153.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":257.7000,"methodology":"fee schedule"}]}]},{"description":"Ht Muscle Image Spect Sing","code_information":[
                 { "code": "78451", "type": "CPT" } ],"standard_charges":[{"minimum":361.2900,"maximum":361.2900,"gross_charge":1150.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":361.2900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":500.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":500.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":500.0000,"methodology":"fee schedule"}]}]},{"description":"Ht Muscle Image Spect Mult","code_information":[
                 { "code": "78452", "type": "CPT" } ],"standard_charges":[{"minimum":352.3800,"maximum":500.0000,"gross_charge":500.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":411.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":355.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":352.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":414.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":489.7600,"methodology":"fee schedule"}]}]},{"description":"Lung Perfusion Imaging","code_information":[
                 { "code": "78580", "type": "CPT" } ],"standard_charges":[{"minimum":121.5000,"maximum":261.2200,"gross_charge":270.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":121.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":177.4700,"methodology":"fee schedule"}]}]},{"description":"Lung Ventilatperfus Imaging","code_information":[
                 { "code": "78582", "type": "CPT" } ],"standard_charges":[{"minimum":170.0000,"maximum":221.4600,"gross_charge":270.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":221.4600,"methodology":"fee schedule"}]}]},{"description":"K Flow\/funct Image W\/o Drug","code_information":[
                 { "code": "78700", "type": "CPT" } ],"standard_charges":[{"minimum":152.9500,"maximum":270.0000,"gross_charge":400.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":152.9500,"methodology":"fee schedule"}]}]},{"description":"K Flow\/funct Image W\/o Drug","code_information":[
                 { "code": "78707", "type": "CPT" } ],"standard_charges":[{"minimum":152.9500,"maximum":270.0000,"gross_charge":400.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":270.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":270.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":270.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":270.0000,"methodology":"fee schedule"}]}]},{"description":"Rp Loclzj Tum Whbdy 1 D Img","code_information":[
                 { "code": "78802", "type": "CPT" } ],"standard_charges":[{"minimum":230.0000,"maximum":409.6500,"gross_charge":495.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":230.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":230.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":230.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":230.0000,"methodology":"fee schedule"}]}]},{"description":"Rp Loclzj Tum Spect 1 Area","code_information":[
                 { "code": "78803", "type": "CPT" } ],"standard_charges":[{"minimum":249.0800,"maximum":370.0000,"gross_charge":500.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":370.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":370.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":370.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":370.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":282.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":409.6500,"methodology":"fee schedule"}]}]},{"description":"Us Compl Joint R-t W\/img","code_information":[
                 { "code": "78881", "type": "CPT" } ],"standard_charges":[{"minimum":42.1500,"maximum":152.0000,"gross_charge":100.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":61.5000,"methodology":"fee schedule"}]}]},{"description":"Basic Metabolic Pnl Total Ca","code_information":[
                 { "code": "80048", "type": "CPT" } ],"standard_charges":[{"minimum":8.4600,"maximum":16.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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":11.1200,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":10.4400,"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":16.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.4400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.4400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.4400,"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":12.0000,"methodology":"fee schedule"}]}]},{"description":"General Health Panel","code_information":[
                 { "code": "80050", "type": "CPT" } ],"standard_charges":[{"minimum":10.0700,"maximum":72.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":59.0000,"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":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":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":59.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":72.0000,"methodology":"fee schedule"}]}]},{"description":"Electrolyte Panel","code_information":[
                 { "code": "80051", "type": "CPT" } ],"standard_charges":[{"minimum":6.0600,"maximum":15.0000,"gross_charge":25.0000,"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":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.6600,"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":7.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.6600,"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":8.6600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.6600,"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 Medicare Avantage","standard_charge_dollar":8.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":8.6600,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.6600,"methodology":"fee schedule"}]}]},{"description":"Comprehen Metabolic Panel","code_information":[
                 { "code": "80053", "type": "CPT" } ],"standard_charges":[{"minimum":9.1300,"maximum":25.0000,"gross_charge":41.0000,"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":23.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.0400,"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":10.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.0400,"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":13.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.0400,"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":14.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.7200,"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 Medicare Avantage","standard_charge_dollar":13.0400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":13.0400,"methodology":"fee schedule"}]}]},{"description":"Obstetric Panel","code_information":[
                 { "code": "80055", "type": "CPT" } ],"standard_charges":[{"minimum":45.0000,"maximum":75.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":55.0000,"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":59.0200,"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":47.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":65.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":59.0200,"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 Medicare Avantage","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":52.1000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":55.0000,"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":45.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":59.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":59.0200,"methodology":"fee schedule"}]}]},{"description":"Lipid Panel","code_information":[
                 { "code": "80061", "type": "CPT" } ],"standard_charges":[{"minimum":11.5700,"maximum":40.0000,"gross_charge":187.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":29.0000,"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":16.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.5300,"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":13.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.5300,"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":18.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.9300,"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 Medicare Avantage","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":16.5300,"methodology":"fee schedule"}]}]},{"description":"Renal Function Panel","code_information":[
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                 { "code": "80173", "type": "CPT" } ],"standard_charges":[{"minimum":12.5900,"maximum":85.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"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":17.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":74.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.9800,"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":17.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.5900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.9800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":13.8900,"methodology":"fee schedule"}]}]},{"description":"Drug Screen Quan Lamotrigine","code_information":[
                 { "code": "80175", "type": "CPT" } ],"standard_charges":[{"minimum":13.2500,"maximum":64.0000,"gross_charge":95.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.2500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lidocaine","code_information":[
                 { "code": "80176", "type": "CPT" } ],"standard_charges":[{"minimum":12.7000,"maximum":60.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"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":60.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1400,"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":18.1400,"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":18.1400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.1400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lithium","code_information":[
                 { "code": "80178", "type": "CPT" } ],"standard_charges":[{"minimum":5.7100,"maximum":16.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"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":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.1600,"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":6.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.1600,"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":8.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":8.1600,"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":"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":19.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3000,"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":15.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3000,"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":15.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3000,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":15.3000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Phenytoin Total","code_information":[
                 { "code": "80185", "type": "CPT" } ],"standard_charges":[{"minimum":11.4500,"maximum":32.0000,"gross_charge":74.0000,"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.3600,"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":13.2500,"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":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.3600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.3600,"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 Medicare Avantage","standard_charge_dollar":16.3600,"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":20.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":16.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.3600,"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"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.3600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Phenytoin Free","code_information":[
                 { "code": "80186", "type": "CPT" } ],"standard_charges":[{"minimum":11.8900,"maximum":50.0000,"gross_charge":91.0000,"setting":"outpatient","payers_information":[{"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":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.9900,"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":16.9900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.9900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":16.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.9900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Primidone","code_information":[
                 { "code": "80188", "type": "CPT" } ],"standard_charges":[{"minimum":14.3400,"maximum":44.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"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":18.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.4800,"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":16.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.4800,"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":20.4800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.4800,"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 Medicare Avantage","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.4800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Procainamide","code_information":[
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                 { "code": "80194", "type": "CPT" } ],"standard_charges":[{"minimum":12.6000,"maximum":44.0000,"gross_charge":57.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":38.0000,"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":18.0300,"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":14.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.0300,"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":18.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.9100,"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 Medicare Avantage","standard_charge_dollar":18.0300,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sirolimus","code_information":[
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                 { "code": "80428", "type": "CPT" } ],"standard_charges":[{"minimum":18.1800,"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":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":66.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":63.6000,"methodology":"fee schedule"}]}]},{"description":"Trh Stimulation Panel","code_information":[
                 { "code": "80439", "type": "CPT" } ],"standard_charges":[{"minimum":58.0900,"maximum":225.0000,"gross_charge":452.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":82.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":82.9800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":82.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":82.9800,"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 Medicare Avantage","standard_charge_dollar":82.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":58.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":82.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":64.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":82.9800,"methodology":"fee schedule"}]}]},{"description":"Urinalysis Nonauto W\/scope","code_information":[
                 { "code": "81000", "type": "CPT" } ],"standard_charges":[{"minimum":2.8100,"maximum":8.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA 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":4.3200,"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":"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":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.0200,"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":4.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":4.0200,"methodology":"fee schedule"}]}]},{"description":"Urinalysis Nonauto W\/scope","code_information":[
                 { "code": "81001", "type": "CPT" } ],"standard_charges":[{"minimum":2.8100,"maximum":8.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.0000,"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":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Urinalysis Nonauto W\/o Scope","code_information":[
                 { "code": "81002", "type": "CPT" } ],"standard_charges":[{"minimum":2.1800,"maximum":5.0000,"gross_charge":4.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.4800,"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":3.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.4800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.4800,"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 Medicare Avantage","standard_charge_dollar":3.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.7800,"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":5.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.4800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":3.4800,"methodology":"fee schedule"}]}]},{"description":"Urinalysis Auto W\/o Scope","code_information":[
                 { "code": "81003", "type": "CPT" } ],"standard_charges":[{"minimum":1.9400,"maximum":3.2200,"gross_charge":5.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":2.7700,"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":2.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":2.7700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":2.7700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":2.7700,"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 Medicare Avantage","standard_charge_dollar":2.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":1.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":2.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":2.7700,"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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":2.6700,"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":2.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":2.6700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":2.6700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":2.6700,"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 Medicare Avantage","standard_charge_dollar":2.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.3600,"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":2.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":1.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":2.6700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":2.6700,"methodology":"fee schedule"}]}]},{"description":"Cftr Gene Com Variants","code_information":[
                 { "code": "81220", "type": "CPT" } ],"standard_charges":[{"minimum":160.0000,"maximum":389.6200,"gross_charge":380.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":389.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"}]}]},{"description":"F5 Gene","code_information":[
                 { "code": "81241", "type": "CPT" } ],"standard_charges":[{"minimum":66.5300,"maximum":75.4400,"gross_charge":210.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":66.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":73.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":75.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":75.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":75.4400,"methodology":"fee schedule"}]}]},{"description":"Ketone Bodys Qual","code_information":[
                 { "code": "82009", "type": "CPT" } ],"standard_charges":[{"minimum":1.2200,"maximum":6.4700,"gross_charge":17.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":1.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":1.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"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":4.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":1.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":1.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":1.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.5800,"methodology":"fee schedule"}]}]},{"description":"Acetylcholinesterase Assay","code_information":[
                 { "code": "82013", "type": "CPT" } ],"standard_charges":[{"minimum":9.6500,"maximum":80.0000,"gross_charge":396.0000,"setting":"outpatient","payers_information":[{"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":80.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.7900,"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":13.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.7900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.7900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.6500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.7900,"methodology":"fee schedule"}]}]},{"description":"Acylcarnitines Quant","code_information":[
                 { "code": "82017", "type": "CPT" } ],"standard_charges":[{"minimum":14.5800,"maximum":235.0000,"gross_charge":281.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":235.0000,"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":20.8300,"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":16.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.8300,"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":20.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.8300,"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":23.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.8300,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.8300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":235.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Acth","code_information":[
                 { "code": "82024", "type": "CPT" } ],"standard_charges":[{"minimum":33.3800,"maximum":98.0000,"gross_charge":333.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":98.0000,"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":47.6800,"methodology":"fee schedule"},{"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":38.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.6800,"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":47.6800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":33.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":42.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.6800,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.6800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":47.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Adp  Amp","code_information":[
                 { "code": "82030", "type": "CPT" } ],"standard_charges":[{"minimum":22.3000,"maximum":75.0000,"gross_charge":175.0000,"setting":"outpatient","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":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"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":35.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":31.8500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":31.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":31.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.8500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serum Albumin","code_information":[
                 { "code": "82040", "type": "CPT" } ],"standard_charges":[{"minimum":1.5000,"maximum":7.0900,"gross_charge":21.0000,"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":5.0000,"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":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.9500,"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":6.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":1.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"}]}]},{"description":"Other Source Albumin Quan Ea","code_information":[
                 { "code": "82042", "type": "CPT" } ],"standard_charges":[{"minimum":3.4800,"maximum":7.7800,"gross_charge":50.0000,"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":4.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.7800,"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":7.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.7800,"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":"MMM","plan_name":"MMM 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":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.6400,"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 Medicare Avantage","standard_charge_dollar":7.7800,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"}]}]},{"description":"Ur Albumin Quantitative","code_information":[
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                 { "code": "82044", "type": "CPT" } ],"standard_charges":[{"minimum":2.5000,"maximum":6.2300,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":2.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.2300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":2.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.6500,"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 Medicare Avantage","standard_charge_dollar":6.2300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.2300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.2300,"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":2.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.2300,"methodology":"fee schedule"}]}]},{"description":"El-1 Fecal Qual\/semiq","code_information":[
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                 { "code": "82150", "type": "CPT" } ],"standard_charges":[{"minimum":5.6000,"maximum":12.0000,"gross_charge":44.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"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":10.4000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"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":6.4800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"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":9.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.0000,"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 Medicare Avantage","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.6000,"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 Medicare Avantage","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":6.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Androstanediol Glucuronide","code_information":[
                 { "code": "82154", "type": "CPT" } ],"standard_charges":[{"minimum":24.9200,"maximum":130.0000,"gross_charge":156.0000,"setting":"outpatient","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":130.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":104.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.6000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":35.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","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":27.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.6000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Androstenedione","code_information":[
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                 { "code": "82160", "type": "CPT" } ],"standard_charges":[{"minimum":21.6100,"maximum":110.0000,"gross_charge":187.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":56.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.8700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.8700,"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":30.8700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.8700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":30.8700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"}]}]},{"description":"Angiotensin I Enzyme Test","code_information":[
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                 { "code": "82373", "type": "CPT" } ],"standard_charges":[{"minimum":15.6000,"maximum":80.0000,"gross_charge":490.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.2900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.2900,"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"}]}]},{"description":"Assay Blood Carbon Dioxide","code_information":[
                 { "code": "82374", "type": "CPT" } ],"standard_charges":[{"minimum":4.2200,"maximum":10.0000,"gross_charge":17.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"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":6.0300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.0300,"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":4.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":4.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.0300,"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":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.0300,"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"}]}]},{"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":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"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":15.2100,"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":12.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.2100,"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":15.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":49.2300,"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 Medicare Avantage","standard_charge_dollar":15.2100,"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"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.2100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"Carcinoembryonic Antigen","code_information":[
                 { "code": "82378", "type": "CPT" } ],"standard_charges":[{"minimum":16.3900,"maximum":39.0000,"gross_charge":116.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":31.2000,"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 Medicare Avantage","standard_charge_dollar":23.4100,"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":"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":16.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.9600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":32.0000,"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":23.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Carnitine","code_information":[
                 { "code": "82379", "type": "CPT" } ],"standard_charges":[{"minimum":14.5800,"maximum":110.0000,"gross_charge":145.0000,"setting":"outpatient","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":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.7300,"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":16.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.8900,"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 Medicare Avantage","standard_charge_dollar":20.8300,"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":52.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.7300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.7300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Carotene","code_information":[
                 { "code": "82380", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":105.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":105.0000,"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":11.3900,"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":9.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.3900,"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":11.3900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":49.7200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":105.0000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.3900,"methodology":"fee schedule"}]}]},{"description":"Assay Urine Catecholamines","code_information":[
                 { "code": "82382", "type": "CPT" } ],"standard_charges":[{"minimum":16.3900,"maximum":103.4900,"gross_charge":80.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":103.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.3900,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.3000,"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":27.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":103.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":103.0000,"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":27.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":27.3000,"methodology":"fee schedule"}]}]},{"description":"Assay Blood Catecholamines","code_information":[
                 { "code": "82383", "type": "CPT" } ],"standard_charges":[{"minimum":21.6500,"maximum":130.4900,"gross_charge":80.0000,"setting":"outpatient","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":42.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.9300,"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":29.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.9300,"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":30.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":127.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":130.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":30.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.9000,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.9300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.9300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Three Catecholamines","code_information":[
                 { "code": "82384", "type": "CPT" } ],"standard_charges":[{"minimum":21.8300,"maximum":100.0000,"gross_charge":80.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":31.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.1800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":31.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.1800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"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":31.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":31.1800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ceruloplasmin","code_information":[
                 { "code": "82390", "type": "CPT" } ],"standard_charges":[{"minimum":9.2800,"maximum":30.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"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":16.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.2600,"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":10.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.2600,"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":13.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.2600,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.2600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Chemiluminescent Assay","code_information":[
                 { "code": "82397", "type": "CPT" } ],"standard_charges":[{"minimum":15.3100,"maximum":30.0000,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.1200,"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":18.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.4300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.0000,"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"}]}]},{"description":"Assay Of Chloramphenicol","code_information":[
                 { "code": "82415", "type": "CPT" } ],"standard_charges":[{"minimum":10.9500,"maximum":70.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.6400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.6400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.0800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.6400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Chloride","code_information":[
                 { "code": "82435", "type": "CPT" } ],"standard_charges":[{"minimum":3.9800,"maximum":6.5800,"gross_charge":33.0000,"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":5.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.6800,"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":4.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.6800,"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":5.6800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.6800,"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 Medicare Avantage","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.6800,"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"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.6800,"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":"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":5.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.2100,"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":5.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.2100,"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":6.2100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.2100,"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 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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.2100,"methodology":"fee schedule"}]}]},{"description":"Assay Other Fluid Chlorides","code_information":[
                 { "code": "82438", "type": "CPT" } ],"standard_charges":[{"minimum":3.4600,"maximum":7.0000,"gross_charge":33.0000,"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":5.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.0300,"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":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.0300,"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 Medicare Avantage","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.0300,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.0300,"methodology":"fee schedule"}]}]},{"description":"Test For Chlorohydrocarbons","code_information":[
                 { "code": "82441", "type": "CPT" } ],"standard_charges":[{"minimum":5.1900,"maximum":8.6000,"gross_charge":143.0000,"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":8.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.4200,"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"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.4200,"methodology":"fee schedule"}]}]},{"description":"Assay Bld\/serum Cholesterol","code_information":[
                 { "code": "82465", "type": "CPT" } ],"standard_charges":[{"minimum":3.7600,"maximum":7.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"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":7.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.3700,"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":4.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.3700,"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":5.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.7400,"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 Medicare Avantage","standard_charge_dollar":5.3700,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.3700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.3700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Serum Cholinesterase","code_information":[
                 { "code": "82480", "type": "CPT" } ],"standard_charges":[{"minimum":6.8000,"maximum":55.0000,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"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":9.7200,"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":9.7200,"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":9.7200,"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":6.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.7200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.7200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":7.5100,"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":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.8100,"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":9.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.8100,"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":9.8100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.8100,"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 Medicare Avantage","standard_charge_dollar":9.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.3700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.8100,"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"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.8100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Chromium","code_information":[
                 { "code": "82495", "type": "CPT" } ],"standard_charges":[{"minimum":17.5300,"maximum":85.0000,"gross_charge":90.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":85.0000,"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":25.0400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.0400,"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":25.0400,"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":25.0400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.0400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.0400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":25.0400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.0400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.0400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Citrate","code_information":[
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                 { "code": "82542", "type": "CPT" } ],"standard_charges":[{"minimum":24.0900,"maximum":25.4100,"gross_charge":185.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.0900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.0900,"methodology":"fee schedule"}]}]},{"description":"Creatine Mb Fraction","code_information":[
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                 { "code": "82552", "type": "CPT" } ],"standard_charges":[{"minimum":11.5700,"maximum":36.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":26.0000,"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":18.2800,"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":13.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.2800,"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":18.2800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.2800,"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 Medicare Avantage","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":20.0000,"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"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.2800,"methodology":"fee schedule"}]}]},{"description":"Creatine Mb Fraction","code_information":[
                 { "code": "82553", "type": "CPT" } ],"standard_charges":[{"minimum":8.0400,"maximum":33.0000,"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":16.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.2600,"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":11.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.2600,"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":14.2600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.2600,"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 Medicare Avantage","standard_charge_dollar":14.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.2600,"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"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.2600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Creatinine","code_information":[
                 { "code": "82565", "type": "CPT" } ],"standard_charges":[{"minimum":4.4300,"maximum":10.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"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":6.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":6.3300,"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":4.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.5800,"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 Medicare Avantage","standard_charge_dollar":6.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.3300,"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":6.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.3300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.3300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Creatinine","code_information":[
                 { "code": "82570", "type": "CPT" } ],"standard_charges":[{"minimum":4.4700,"maximum":9.6000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"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":6.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.3900,"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":5.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.3900,"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":6.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.3900,"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"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.6400,"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 Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":6.3900,"methodology":"fee schedule"}]}]},{"description":"Creatinine Clearance Test","code_information":[
                 { "code": "82575", "type": "CPT" } ],"standard_charges":[{"minimum":8.1700,"maximum":20.0000,"gross_charge":66.0000,"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":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.6700,"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":9.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.6700,"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":11.6700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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 Medicare Avantage","standard_charge_dollar":11.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":11.6700,"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":9.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.1700,"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"}]}]},{"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":"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":14.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.1400,"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":14.1400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.1400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cryoglobulin","code_information":[
                 { "code": "82595", "type": "CPT" } ],"standard_charges":[{"minimum":5.5900,"maximum":52.0000,"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":6.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.9800,"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":6.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.9800,"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":7.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.9800,"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 Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.9800,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cyanide","code_information":[
                 { "code": "82600", "type": "CPT" } ],"standard_charges":[{"minimum":16.7700,"maximum":90.0000,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":90.0000,"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":23.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.9500,"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":23.9500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":71.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.1400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":33.5000,"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"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.9500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.9500,"methodology":"fee schedule"}]}]},{"description":"Vitamin B-12","code_information":[
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                 { "code": "82664", "type": "CPT" } ],"standard_charges":[{"minimum":28.0000,"maximum":61.5000,"gross_charge":119.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":61.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":61.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":46.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":61.5000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":61.5000,"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":37.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":61.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":61.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":61.5000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Erythropoietin","code_information":[
                 { "code": "82668", "type": "CPT" } ],"standard_charges":[{"minimum":16.2400,"maximum":80.0000,"gross_charge":163.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.2000,"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":18.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.2000,"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":23.2000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":79.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":36.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.2000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Total Estradiol","code_information":[
                 { "code": "82670", "type": "CPT" } ],"standard_charges":[{"minimum":24.1400,"maximum":60.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.4900,"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":27.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.4900,"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":34.4900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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 Medicare Avantage","standard_charge_dollar":34.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.4500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":34.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":44.0000,"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":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.4900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Estrogen","code_information":[
                 { "code": "82672", "type": "CPT" } ],"standard_charges":[{"minimum":18.7500,"maximum":56.0000,"gross_charge":71.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.7000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.6500,"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 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":20.6900,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":56.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA 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":40.0000,"gross_charge":253.0000,"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":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.8500,"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":24.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.8500,"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":29.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.8500,"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":23.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":26.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":29.8500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":29.8500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Estrone","code_information":[
                 { "code": "82679", "type": "CPT" } ],"standard_charges":[{"minimum":21.5700,"maximum":112.7400,"gross_charge":75.0000,"setting":"outpatient","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":40.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.8100,"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":24.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.8100,"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":30.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":112.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":30.8100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.8000,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.8100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ethylene Glycol","code_information":[
                 { "code": "82693", "type": "CPT" } ],"standard_charges":[{"minimum":12.8800,"maximum":40.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"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":40.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.4000,"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":18.4000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.2000,"methodology":"fee schedule"}]}]},{"description":"Fats\/lipids Feces Qual","code_information":[
                 { "code": "82705", "type": "CPT" } ],"standard_charges":[{"minimum":6.0900,"maximum":22.9700,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.2900,"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":4.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.5400,"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 Medicare Avantage","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.0000,"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":5.0000,"methodology":"fee schedule"}]}]},{"description":"Fats\/lipids Feces Qual","code_information":[
                 { "code": "82715", "type": "CPT" } ],"standard_charges":[{"minimum":6.0900,"maximum":22.9700,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.0800,"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 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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado 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":23.0000,"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":18.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.7700,"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":37.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":29.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.7700,"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":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.6800,"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 Medicare Avantage","standard_charge_dollar":22.2900,"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":20.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.2900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":164.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0000,"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":300.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.2900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ferritin","code_information":[
                 { "code": "82728", "type": "CPT" } ],"standard_charges":[{"minimum":11.7800,"maximum":32.0000,"gross_charge":53.0000,"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":17.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.8300,"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":13.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8300,"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":16.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8300,"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":13.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8600,"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 Medicare Avantage","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":16.8300,"methodology":"fee schedule"}]}]},{"description":"Amino Acids Single Quant","code_information":[
                 { "code": "82731", "type": "CPT" } ],"standard_charges":[{"minimum":30.0000,"maximum":195.0000,"gross_charge":195.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":79.5200,"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 Health Maintenance Organization","standard_charge_dollar":70.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":79.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":195.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":87.5000,"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":64.4100,"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":79.5200,"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":79.5200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":79.5200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":79.5200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":195.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":79.5200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Fluoride","code_information":[
                 { "code": "82735", "type": "CPT" } ],"standard_charges":[{"minimum":13.0500,"maximum":145.0000,"gross_charge":143.0000,"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":145.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.8900,"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":22.8900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.8900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.6800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.8900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Folic Acid Serum","code_information":[
                 { "code": "82746", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":32.0000,"gross_charge":75.0000,"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":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1500,"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":14.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.1500,"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":18.1500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.1500,"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 Medicare Avantage","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":18.1500,"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":14.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.1500,"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":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":63.0000,"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":21.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.4000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.9000,"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 Medicare Avantage","standard_charge_dollar":21.4000,"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"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.4000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":63.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.3400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Rbc Galactokinase","code_information":[
                 { "code": "82759", "type": "CPT" } ],"standard_charges":[{"minimum":15.6600,"maximum":30.7700,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.5200,"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":26.5200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.5200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":26.5200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Galactose","code_information":[
                 { "code": "82760", "type": "CPT" } ],"standard_charges":[{"minimum":9.6700,"maximum":25.0000,"gross_charge":185.0000,"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":13.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.8200,"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":13.8200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.8200,"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 Medicare Avantage","standard_charge_dollar":13.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.6800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.8200,"methodology":"fee schedule"}]}]},{"description":"Assay Galactose Transferase","code_information":[
                 { "code": "82775", "type": "CPT" } ],"standard_charges":[{"minimum":18.2100,"maximum":40.0000,"gross_charge":185.0000,"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":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.0100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":26.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.0100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.0100,"methodology":"fee schedule"}]}]},{"description":"Assay Iga\/igd\/igg\/igm Each","code_information":[
                 { "code": "82784", "type": "CPT" } ],"standard_charges":[{"minimum":8.0400,"maximum":13.3200,"gross_charge":28.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"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":13.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.4800,"methodology":"fee 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                 { "code": "82977", "type": "CPT" } ],"standard_charges":[{"minimum":4.9800,"maximum":16.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"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":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.8900,"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":7.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.8900,"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":8.8900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.8900,"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 Medicare Avantage","standard_charge_dollar":8.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.6900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.0000,"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":4.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.8900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Glycated Protein","code_information":[
                 { "code": "82985", "type": "CPT" } ],"standard_charges":[{"minimum":13.0300,"maximum":100.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"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":22.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.6100,"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":18.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.6100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.6100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.6100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.6100,"methodology":"fee schedule"},{"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":22.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Gonadotropin (fsh)","code_information":[
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                 { "code": "83002", "type": "CPT" } ],"standard_charges":[{"minimum":16.0000,"maximum":32.0000,"gross_charge":74.0000,"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.8600,"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":18.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.8600,"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":22.8600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.8600,"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":17.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.1800,"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 Medicare Avantage","standard_charge_dollar":22.8300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":22.8600,"methodology":"fee schedule"}]}]},{"description":"Assay Growth Hormone (hgh)","code_information":[
                 { "code": "83003", "type": "CPT" } ],"standard_charges":[{"minimum":18.1800,"maximum":85.0000,"gross_charge":32.0000,"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":20.5800,"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":44.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.5800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.5800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.5800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.7600,"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 Health Maintenance Organization","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":22.0000,"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":20.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.0100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.0000,"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":22.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Haptoglobin Quant","code_information":[
                 { "code": "83010", "type": "CPT" } ],"standard_charges":[{"minimum":10.8700,"maximum":32.0000,"gross_charge":83.0000,"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":19.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.5300,"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":12.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.5300,"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":15.5300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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 Medicare Avantage","standard_charge_dollar":15.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.7000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":19.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.5300,"methodology":"fee schedule"}]}]},{"description":"Heavy Metal Qual Any Number","code_information":[
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                 { "code": "83695", "type": "CPT" } ],"standard_charges":[{"minimum":11.1900,"maximum":43.5000,"gross_charge":113.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.1900,"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"}]}]},{"description":"Lipopro Bld Electrophoretic","code_information":[
                 { "code": "83700", "type": "CPT" } ],"standard_charges":[{"minimum":9.7300,"maximum":113.0000,"gross_charge":113.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical 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 Medicare Avantage","standard_charge_dollar":13.9000,"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":10.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.9000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","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":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":13.9000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.9000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.9000,"methodology":"fee schedule"}]}]},{"description":"Lipoprotein Bld Hr Fraction","code_information":[
                 { "code": "83701", "type": "CPT" } ],"standard_charges":[{"minimum":27.0600,"maximum":72.0000,"gross_charge":330.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.8600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":33.8600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.8600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":33.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":33.8600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":33.8600,"methodology":"fee schedule"}]}]},{"description":"Lipopro Bld Electrophoretic","code_information":[
                 { "code": "83715", "type": "CPT" } ],"standard_charges":[{"minimum":9.7300,"maximum":113.0000,"gross_charge":113.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":113.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":113.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":113.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":113.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":113.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":113.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lipoprotein","code_information":[
                 { "code": "83718", "type": "CPT" } ],"standard_charges":[{"minimum":7.0800,"maximum":19.0000,"gross_charge":47.0000,"setting":"outpatient","payers_information":[{"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":19.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.1200,"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":8.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.1200,"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":10.1200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.1200,"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 Medicare Avantage","standard_charge_dollar":10.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.9300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.0000,"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":7.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.1200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Lipoprotein","code_information":[
                 { "code": "83719", "type": "CPT" } ],"standard_charges":[{"minimum":10.0500,"maximum":16.6600,"gross_charge":96.0000,"setting":"outpatient","payers_information":[{"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":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.3600,"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":12.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.3600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.3600,"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 Medicare Avantage","standard_charge_dollar":14.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":16.0000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.3600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.3600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Lipoprotein","code_information":[
                 { "code": "83721", "type": "CPT" } ],"standard_charges":[{"minimum":9.1000,"maximum":30.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":29.0000,"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":11.7800,"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":10.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7800,"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":11.7800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.1000,"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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.7800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.7800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.7800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.0000,"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":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.7400,"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 Medicare Avantage","standard_charge_dollar":21.2200,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.2200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.0000,"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":24.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":21.2200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Magnesium","code_information":[
                 { "code": "83735", "type": "CPT" } ],"standard_charges":[{"minimum":9.0000,"maximum":10.0000,"gross_charge":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.1400,"methodology":"fee schedule"},{"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":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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.1400,"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":12.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.1400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.1400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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 Medicare Avantage","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.0000,"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":6.3800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Manganese","code_information":[
                 { "code": "83785", "type": "CPT" } ],"standard_charges":[{"minimum":25.0000,"maximum":34.6100,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":33.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":33.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.3700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":100.0000,"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":21.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.3700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.3700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.3700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.3700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":33.5500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":30.3700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Mass Spectrometry Qual\/quan","code_information":[
                 { "code": "83789", "type": "CPT" } ],"standard_charges":[{"minimum":24.6000,"maximum":25.4100,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"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":24.6000,"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 Medicare Avantage","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":"PMC","plan_name":"PMC Medicare Avantage","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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","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":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.6300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Mercury","code_information":[
                 { "code": "83825", "type": "CPT" } ],"standard_charges":[{"minimum":14.0500,"maximum":75.0000,"gross_charge":179.0000,"setting":"outpatient","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":31.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.0700,"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":16.2600,"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":56.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.0700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":55.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.7100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":31.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.0700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Metanephrines","code_information":[
                 { "code": "83835", "type": "CPT" } ],"standard_charges":[{"minimum":14.6400,"maximum":110.0000,"gross_charge":206.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":67.0000,"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":20.9200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.1100,"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":16.9400,"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":16.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.1100,"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":20.9200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.1100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.9200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.1100,"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 Medicare Avantage","standard_charge_dollar":20.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.4600,"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 Health Maintenance Organization","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":67.0000,"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":16.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.1100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.9200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.1100,"methodology":"fee schedule"}]}]},{"description":"Mucopolysaccharides","code_information":[
                 { "code": "83864", "type": "CPT" } ],"standard_charges":[{"minimum":18.9900,"maximum":190.0000,"gross_charge":325.0000,"setting":"outpatient","payers_information":[{"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":28.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.5000,"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 Medicare Avantage","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.7000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":190.0000,"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":18.9900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.5000,"methodology":"fee schedule"}]}]},{"description":"Assay Synovial Fluid Mucin","code_information":[
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                 { "code": "83885", "type": "CPT" } ],"standard_charges":[{"minimum":21.1800,"maximum":120.0000,"gross_charge":148.0000,"setting":"outpatient","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":120.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":33.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.2600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":30.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":23.3700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Nicotine","code_information":[
                 { "code": "83887", "type": "CPT" } ],"standard_charges":[{"minimum":30.4500,"maximum":67.2400,"gross_charge":108.0000,"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":48.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":32.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":32.3100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":32.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":67.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":30.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":65.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":48.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":65.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.3100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Nucleotidase","code_information":[
                 { "code": "83915", "type": "CPT" } ],"standard_charges":[{"minimum":11.1500,"maximum":42.2400,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"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":18.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.2100,"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":11.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.2100,"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":15.2100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.2100,"methodology":"fee schedule"},{"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 Medicare Avantage","standard_charge_dollar":13.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":41.1800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.2100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.2100,"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":"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":32.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.3900,"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":27.3900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.3900,"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 Medicare Avantage","standard_charge_dollar":27.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"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":27.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.3900,"methodology":"fee schedule"}]}]},{"description":"Organic Acids Total Quant","code_information":[
                 { "code": "83918", "type": "CPT" } ],"standard_charges":[{"minimum":16.5200,"maximum":180.0000,"gross_charge":540.0000,"setting":"outpatient","payers_information":[{"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":23.3100,"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 Medicare Avantage","standard_charge_dollar":23.6000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.6000,"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":23.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":128.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.6000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.6000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.6000,"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"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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"}]}]},{"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.3100,"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":15.6900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.4500,"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":14.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.9300,"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 Medicare Avantage","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.3100,"methodology":"fee schedule"}]}]},{"description":"Organic Acid Single Quant","code_information":[
                 { "code": "83921", "type": "CPT" } ],"standard_charges":[{"minimum":22.4100,"maximum":23.1600,"gross_charge":175.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":22.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.4500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Osmolality","code_information":[
                 { "code": "83930", "type": "CPT" } ],"standard_charges":[{"minimum":5.7100,"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":11.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.1600,"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":6.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.1600,"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":8.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.2100,"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 Medicare Avantage","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.3100,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Osmolality","code_information":[
                 { "code": "83935", "type": "CPT" } ],"standard_charges":[{"minimum":5.8900,"maximum":18.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.4200,"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":11.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"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":11.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.4200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Osteocalcin","code_information":[
                 { "code": "83937", "type": "CPT" } ],"standard_charges":[{"minimum":25.8000,"maximum":98.7400,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":98.0000,"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":36.8500,"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":29.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":36.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.8500,"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":98.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":36.8500,"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"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.8500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":36.8500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Oxalate","code_information":[
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                 { "code": "84140", "type": "CPT" } ],"standard_charges":[{"minimum":17.8600,"maximum":150.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.8600,"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 Health Maintenance Organization","standard_charge_dollar":22.5300,"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 Medicare Avantage","standard_charge_dollar":25.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.7100,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.5200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.5200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":"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":25.5200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":25.5200,"methodology":"fee schedule"}]}]},{"description":"Assay Of 17-hydroxypregneno","code_information":[
                 { "code": "84143", "type": "CPT" } ],"standard_charges":[{"minimum":19.7100,"maximum":150.0000,"gross_charge":168.0000,"setting":"outpatient","payers_information":[{"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":56.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":22.8100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":53.0000,"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":28.1600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":28.1600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.1600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Progesterone","code_information":[
                 { "code": "84144", "type": "CPT" } ],"standard_charges":[{"minimum":18.0300,"maximum":52.0000,"gross_charge":116.0000,"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.7600,"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":20.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.7600,"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":25.7600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.7600,"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 Medicare Avantage","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":25.0000,"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"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.7600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Prolactin","code_information":[
                 { "code": "84146", "type": "CPT" } ],"standard_charges":[{"minimum":16.7400,"maximum":32.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"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":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.9200,"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":19.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.9200,"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":23.9200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.9200,"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 Medicare Avantage","standard_charge_dollar":23.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.9200,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.9200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Prostaglandin","code_information":[
                 { "code": "84150", "type": "CPT" } ],"standard_charges":[{"minimum":23.8000,"maximum":41.7700,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":41.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":41.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":41.7700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":41.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.8000,"methodology":"fee schedule"},{"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":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":41.7700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.7700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":41.7700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Psa Complexed","code_information":[
                 { "code": "84152", "type": "CPT" } ],"standard_charges":[{"minimum":15.9000,"maximum":100.0000,"gross_charge":166.0000,"setting":"outpatient","payers_information":[{"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":100.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.7100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.7100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.7100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.7100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.7100,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.7100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Psa Total","code_information":[
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                 { "code": "84260", "type": "CPT" } ],"standard_charges":[{"minimum":24.5300,"maximum":138.0000,"gross_charge":187.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":138.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":38.2500,"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":30.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":38.2500,"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":38.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":138.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.7600,"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 Medicare Avantage","standard_charge_dollar":38.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":38.2500,"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":38.2500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":38.2500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sex Hormone Globul","code_information":[
                 { "code": "84270", "type": "CPT" } ],"standard_charges":[{"minimum":11.3100,"maximum":60.0000,"gross_charge":108.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.8300,"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":20.7300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.7300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.6900,"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 Medicare Avantage","standard_charge_dollar":26.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.8300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.8300,"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":26.8300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.0000,"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":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.8300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sialic Acid","code_information":[
                 { "code": "84275", "type": "CPT" } ],"standard_charges":[{"minimum":10.4400,"maximum":60.0000,"gross_charge":84.0000,"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":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.5900,"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":16.5900,"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":16.5900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.5900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.5900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serum Sodium","code_information":[
                 { "code": "84295", "type": "CPT" } ],"standard_charges":[{"minimum":4.3500,"maximum":8.0000,"gross_charge":30.0000,"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":8.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.9400,"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":4.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.2500,"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 Medicare Avantage","standard_charge_dollar":5.9400,"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"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.9400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.9400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Sodium","code_information":[
                 { "code": "84300", "type": "CPT" } ],"standard_charges":[{"minimum":4.2000,"maximum":8.0000,"gross_charge":30.0000,"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":8.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva 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":5.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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 Medicare Avantage","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":8.0000,"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":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sweat Sodium","code_information":[
                 { "code": "84302", "type": "CPT" } ],"standard_charges":[{"minimum":1.5000,"maximum":10.0000,"gross_charge":15.0000,"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":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva 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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare 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":4.6400,"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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":142.0000,"gross_charge":356.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.2500,"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":26.2500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":142.0000,"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":20.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":134.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":141.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":26.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":128.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.2500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.2500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":142.0000,"methodology":"fee schedule"},{"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":26.2500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Somatostatin","code_information":[
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                 { "code": "84437", "type": "CPT" } ],"standard_charges":[{"minimum":5.5900,"maximum":15.4900,"gross_charge":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0500,"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"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Free Thyroxine","code_information":[
                 { "code": "84439", "type": "CPT" } ],"standard_charges":[{"minimum":7.7900,"maximum":24.0000,"gross_charge":57.0000,"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":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.1300,"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":9.0200,"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":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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 Medicare Avantage","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.7700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.1300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Thyroid Activity","code_information":[
                 { "code": "84442", "type": "CPT" } ],"standard_charges":[{"minimum":12.7800,"maximum":60.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":60.0000,"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":18.2500,"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":14.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.2500,"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":18.2500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":59.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.1100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"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":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.2500,"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":30.0000,"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":20.7500,"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":16.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.7500,"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":20.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.8000,"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 Medicare Avantage","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":22.0800,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Tsi Globulin","code_information":[
                 { "code": "84445", "type": "CPT" } ],"standard_charges":[{"minimum":35.0000,"maximum":160.0000,"gross_charge":140.0000,"setting":"outpatient","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":100.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":62.7800,"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":50.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":62.7800,"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":62.7800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":62.7800,"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 Medicare Avantage","standard_charge_dollar":62.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":55.4200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":35.0000,"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":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":43.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":62.7800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":62.7800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin E","code_information":[
                 { "code": "84446", "type": "CPT" } ],"standard_charges":[{"minimum":12.2600,"maximum":63.0000,"gross_charge":160.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":63.0000,"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":17.5100,"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":14.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.5100,"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":17.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.4500,"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 Medicare Avantage","standard_charge_dollar":17.5100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.5200,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.5100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.5100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":63.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Transcortin","code_information":[
                 { "code": "84449", "type": "CPT" } ],"standard_charges":[{"minimum":15.5500,"maximum":30.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.2200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.2200,"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 Medicare Avantage","standard_charge_dollar":22.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":29.0000,"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":22.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.2200,"methodology":"fee schedule"}]}]},{"description":"Transferase (ast) (sgot)","code_information":[
                 { "code": "84450", "type": "CPT" } ],"standard_charges":[{"minimum":4.4700,"maximum":8.0000,"gross_charge":25.0000,"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":6.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.3900,"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":5.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.3900,"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":6.3900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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 Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.6400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":6.3900,"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":4.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"}]}]},{"description":"Alanine Amino (alt) (sgpt)","code_information":[
                 { "code": "84460", "type": "CPT" } ],"standard_charges":[{"minimum":5.0500,"maximum":8.0000,"gross_charge":25.0000,"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":6.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.5400,"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":5.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.5400,"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":6.5400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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 Medicare Avantage","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.7800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":6.5400,"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":5.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.5400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Transferrin","code_information":[
                 { "code": "84466", "type": "CPT" } ],"standard_charges":[{"minimum":11.0300,"maximum":32.0000,"gross_charge":42.0000,"setting":"outpatient","payers_information":[{"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":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.7600,"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":12.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.7600,"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":15.7600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.7600,"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 Medicare Avantage","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":15.7200,"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":12.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.7600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Triglycerides","code_information":[
                 { "code": "84478", "type": "CPT" } ],"standard_charges":[{"minimum":4.9600,"maximum":15.0000,"gross_charge":33.0000,"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":7.0900,"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":5.7400,"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":12.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.0900,"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 Medicare Avantage","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado 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":15.0000,"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":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.0900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Thyroid (t3 Or T4)","code_information":[
                 { "code": "84479", "type": "CPT" } ],"standard_charges":[{"minimum":5.5900,"maximum":13.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.9800,"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":6.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.9800,"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 Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":7.9800,"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":6.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"}]}]},{"description":"Assay Triiodothyronine (t3)","code_information":[
                 { "code": "84480", "type": "CPT" } ],"standard_charges":[{"minimum":12.2600,"maximum":36.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.5100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"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":12.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.5100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.5100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":17.5100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":26.0000,"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":17.5100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.5100,"methodology":"fee schedule"}]}]},{"description":"Free Assay (ft-3)","code_information":[
                 { "code": "84481", "type": "CPT" } ],"standard_charges":[{"minimum":14.6400,"maximum":56.0000,"gross_charge":333.0000,"setting":"outpatient","payers_information":[{"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.9200,"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":16.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.9200,"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":20.9200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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 Medicare Avantage","standard_charge_dollar":20.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":20.9200,"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":16.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.9200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.9200,"methodology":"fee schedule"}]}]},{"description":"T3 Reverse","code_information":[
                 { "code": "84482", "type": "CPT" } ],"standard_charges":[{"minimum":11.0200,"maximum":95.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.1800,"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 Medicare Avantage","standard_charge_dollar":19.4600,"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":40.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.4600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":95.0000,"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":19.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":19.4600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Troponin Quant","code_information":[
                 { "code": "84484", "type": "CPT" } ],"standard_charges":[{"minimum":8.7300,"maximum":70.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"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":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.4700,"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":12.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.4700,"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":12.4700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.4700,"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 Medicare Avantage","standard_charge_dollar":12.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.7200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":12.4700,"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":9.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.4700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Tyrosine","code_information":[
                 { "code": "84510", "type": "CPT" } ],"standard_charges":[{"minimum":8.9900,"maximum":15.0000,"gross_charge":247.0000,"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":12.8400,"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":12.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.1700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.8400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":12.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.9200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.8400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urea Nitrogen","code_information":[
                 { "code": "84520", "type": "CPT" } ],"standard_charges":[{"minimum":3.4200,"maximum":8.0000,"gross_charge":15.0000,"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":5.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.8800,"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":3.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.3000,"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 Medicare Avantage","standard_charge_dollar":4.8800,"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":6.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine\/urea-n","code_information":[
                 { "code": "84540", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":6.8000,"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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.8600,"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":5.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.8600,"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 Medicare Avantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":5.8600,"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":4.5300,"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":5.8600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA 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":14.4000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"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":11.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":8.1600,"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":6.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood\/uric Acid","code_information":[
                 { "code": "84550", "type": "CPT" } ],"standard_charges":[{"minimum":4.3100,"maximum":8.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.9300,"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 Medicare Avantage","standard_charge_dollar":5.5800,"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":6.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"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":5.5800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine\/uric Acid","code_information":[
                 { "code": "84560", "type": "CPT" } ],"standard_charges":[{"minimum":4.1000,"maximum":7.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.8600,"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":4.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"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":5.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":5.8600,"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":5.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.8600,"methodology":"fee schedule"}]}]},{"description":"Test Urine Urobilinogen","code_information":[
                 { "code": "84578", "type": "CPT" } ],"standard_charges":[{"minimum":2.0000,"maximum":6.4900,"gross_charge":25.0000,"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":2.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.4700,"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":4.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.5400,"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 Medicare Avantage","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.1000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":40.0000,"gross_charge":50.0000,"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":17.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.1300,"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":15.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.1300,"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":19.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.8900,"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 Medicare Avantage","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.7800,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.1300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vip","code_information":[
                 { "code": "84586", "type": "CPT" } ],"standard_charges":[{"minimum":20.8600,"maximum":185.0000,"gross_charge":375.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":185.0000,"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":43.6200,"methodology":"fee schedule"},{"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":35.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":43.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":148.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":43.6200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":43.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":162.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":43.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":185.0000,"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":20.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":43.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":43.6200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vasopressin","code_information":[
                 { "code": "84588", "type": "CPT" } ],"standard_charges":[{"minimum":29.3300,"maximum":163.0000,"gross_charge":409.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":163.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":41.9000,"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":33.9400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":132.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM 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":162.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":41.9000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":41.9000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":163.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin A","code_information":[
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                 { "code": "85027", "type": "CPT" } ],"standard_charges":[{"minimum":5.2200,"maximum":11.5700,"gross_charge":27.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.9800,"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":10.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":7.9800,"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":9.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.9800,"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":7.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"}]}]},{"description":"Automated Rbc Count","code_information":[
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                 { "code": "85044", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":8.0000,"gross_charge":19.0000,"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":3.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.3200,"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":4.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.3200,"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":5.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.3200,"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":4.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.6900,"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 Medicare Avantage","standard_charge_dollar":5.3200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":5.3200,"methodology":"fee schedule"}]}]},{"description":"Automated Leukocyte Count","code_information":[
                 { "code": "85048", "type": "CPT" } ],"standard_charges":[{"minimum":2.0000,"maximum":3.6400,"gross_charge":3.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":3.5000,"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":3.1300,"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":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS 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":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.1300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.4600,"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 Medicare Avantage","standard_charge_dollar":3.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":3.1300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":2.0000,"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":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":2.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.4600,"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":"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":3.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.5300,"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":4.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.5300,"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":5.5300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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 Medicare Avantage","standard_charge_dollar":5.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":4.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.5300,"methodology":"fee schedule"}]}]},{"description":"Reticulated Platelet Assay","code_information":[
                 { "code": "85055", "type": "CPT" } ],"standard_charges":[{"minimum":25.2300,"maximum":50.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"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":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":35.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.7400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":35.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":35.7400,"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"}]}]},{"description":"Tissue Culture Bone Marrow","code_information":[
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                 { "code": "85170", "type": "CPT" } ],"standard_charges":[{"minimum":3.4500,"maximum":16.3000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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":3.4500,"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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.3000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.3000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"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":3.7500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.3000,"methodology":"fee schedule"}]}]},{"description":"Clot Factor Ii Prothrom Spec","code_information":[
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                 { "code": "85379", "type": "CPT" } ],"standard_charges":[{"minimum":9.7100,"maximum":17.0000,"gross_charge":80.0000,"setting":"outpatient","payers_information":[{"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":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.8700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.5600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":12.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5600,"methodology":"fee schedule"}]}]},{"description":"Fibrinogen Activity","code_information":[
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                 { "code": "85397", "type": "CPT" } ],"standard_charges":[{"minimum":21.8800,"maximum":32.2900,"gross_charge":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":30.8600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":30.8600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":30.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":30.8600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.8800,"methodology":"fee schedule"}]}]},{"description":"Fibrinolytic Antiplasmin","code_information":[
                 { "code": "85410", "type": "CPT" } ],"standard_charges":[{"minimum":7.3500,"maximum":26.0000,"gross_charge":290.0000,"setting":"outpatient","payers_information":[{"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.5100,"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":9.5100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.5100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":26.0000,"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":9.5100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.5100,"methodology":"fee schedule"}]}]},{"description":"Fibrinolytic Plasminogen","code_information":[
                 { "code": "85420", "type": "CPT" } ],"standard_charges":[{"minimum":6.2300,"maximum":138.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":113.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.1200,"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 Medicare Avantage","standard_charge_dollar":8.0600,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":104.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.0600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":138.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.5300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":138.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.0600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.0600,"methodology":"fee schedule"}]}]},{"description":"Heparin Assay","code_information":[
                 { "code": "85520", "type": "CPT" } ],"standard_charges":[{"minimum":12.4800,"maximum":130.0000,"gross_charge":203.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":69.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.1600,"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":16.1600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.1600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.1600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"}]}]},{"description":"Muramidase","code_information":[
                 { "code": "85549", "type": "CPT" } ],"standard_charges":[{"minimum":17.8800,"maximum":79.0000,"gross_charge":126.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.1500,"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":18.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":23.1500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.1500,"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 Medicare Avantage","standard_charge_dollar":23.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.4300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.1500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.1500,"methodology":"fee schedule"}]}]},{"description":"Rbc Osmotic Fragility","code_information":[
                 { "code": "85557", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":55.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":55.0000,"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":18.2300,"methodology":"fee schedule"},{"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":18.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.2300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.4900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.2300,"methodology":"fee schedule"}]}]},{"description":"Phospholipid Pltlt Neutraliz","code_information":[
                 { "code": "85597", "type": "CPT" } ],"standard_charges":[{"minimum":17.1400,"maximum":30.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA 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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.1900,"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":22.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"}]}]},{"description":"Hexagnal Phosph Pltlt Neutrl","code_information":[
                 { "code": "85598", "type": "CPT" } ],"standard_charges":[{"minimum":17.1400,"maximum":25.3000,"gross_charge":210.0000,"setting":"outpatient","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","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"}]}]},{"description":"Prothrombin Time","code_information":[
                 { "code": "85610", "type": "CPT" } ],"standard_charges":[{"minimum":3.4000,"maximum":9.6000,"gross_charge":20.0000,"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":9.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.8500,"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":4.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.4000,"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":4.8500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.8500,"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 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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":4.8500,"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"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.8500,"methodology":"fee schedule"}]}]},{"description":"Russell Viper Venom Diluted","code_information":[
                 { "code": "85612", "type": "CPT" } ],"standard_charges":[{"minimum":16.9300,"maximum":85.0000,"gross_charge":123.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.3700,"methodology":"fee schedule"}]}]},{"description":"Russell Viper Venom Diluted","code_information":[
                 { "code": "85613", "type": "CPT" } ],"standard_charges":[{"minimum":16.9300,"maximum":85.0000,"gross_charge":123.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.4800,"methodology":"fee schedule"}]}]},{"description":"Reptilase Test","code_information":[
                 { "code": "85635", "type": "CPT" } ],"standard_charges":[{"minimum":7.8300,"maximum":15.0000,"gross_charge":150.0000,"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":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":12.1600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.1600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.1600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.1600,"methodology":"fee schedule"}]}]},{"description":"Rbc Sed Rate Nonautomated","code_information":[
                 { "code": "85651", "type": "CPT" } ],"standard_charges":[{"minimum":3.3800,"maximum":7.0000,"gross_charge":13.0000,"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":6.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.3800,"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":4.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.3800,"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":4.3800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.3800,"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 Medicare Avantage","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":4.3800,"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":3.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.3800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.3800,"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":"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":3.0000,"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":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":"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":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":6.8000,"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":5.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.8000,"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":"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":4.0000,"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":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.1200,"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":7.1200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.1200,"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 Medicare Avantage","standard_charge_dollar":7.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.2900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":7.1200,"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":5.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.1200,"methodology":"fee schedule"}]}]},{"description":"Thromboplastin Inhibition","code_information":[
                 { "code": "85705", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":104.0000,"gross_charge":162.0000,"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":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":104.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.8900,"methodology":"fee schedule"}]}]},{"description":"Prothrombin Time","code_information":[
                 { "code": "85730", "type": "CPT" } ],"standard_charges":[{"minimum":5.1900,"maximum":11.2000,"gross_charge":30.0000,"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":9.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.4200,"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":6.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.4200,"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":7.4200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.4200,"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 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":"Veteranos","plan_name":"Veteranos 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":7.4200,"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":5.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.4200,"methodology":"fee schedule"}]}]},{"description":"Russell Viper Venom Diluted","code_information":[
                 { "code": "85732", "type": "CPT" } ],"standard_charges":[{"minimum":16.9300,"maximum":85.0000,"gross_charge":123.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"}]}]},{"description":"Blood Viscosity Examination","code_information":[
                 { "code": "85810", "type": "CPT" } ],"standard_charges":[{"minimum":11.1300,"maximum":30.0000,"gross_charge":99.0000,"setting":"outpatient","payers_information":[{"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":11.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.4100,"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":14.4100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":11.1300,"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":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.4100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.4100,"methodology":"fee schedule"}]}]},{"description":"Agglutinins Febrile Antigen","code_information":[
                 { "code": "86000", "type": "CPT" } ],"standard_charges":[{"minimum":6.6600,"maximum":20.0000,"gross_charge":57.0000,"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":19.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.6200,"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":6.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.5100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.6200,"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 Medicare Avantage","standard_charge_dollar":8.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.6100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":19.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM 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"}]}]},{"description":"Allergen Specific Igg","code_information":[
                 { "code": "86001", "type": "CPT" } ],"standard_charges":[{"minimum":4.9800,"maximum":25.0000,"gross_charge":28.0000,"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.8200,"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":7.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.8200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.8200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.8200,"methodology":"fee schedule"}]}]},{"description":"Allg Spec Ige Crude Xtrc Ea","code_information":[
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                 { "code": "86709", "type": "CPT" } ],"standard_charges":[{"minimum":9.7300,"maximum":35.0000,"gross_charge":66.0000,"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":35.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3600,"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":11.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.3600,"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":15.3600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.3600,"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 Medicare Avantage","standard_charge_dollar":13.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":16.0000,"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"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.3600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.3600,"methodology":"fee schedule"}]}]},{"description":"Influenza Virus Antibody","code_information":[
                 { "code": "86710", "type": "CPT" } ],"standard_charges":[{"minimum":11.7100,"maximum":150.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA 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":"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":18.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":116.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":116.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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 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":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"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"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.7300,"methodology":"fee schedule"}]}]},{"description":"Legionella Antibody","code_information":[
                 { "code": "86713", "type": "CPT" } ],"standard_charges":[{"minimum":18.8900,"maximum":100.0000,"gross_charge":133.0000,"setting":"outpatient","payers_information":[{"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":18.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":100.0000,"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":20.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.2200,"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":20.8800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":100.0000,"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":20.8800,"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":20.8800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.8800,"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 Health Maintenance Organization","standard_charge_dollar":16.6800,"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 Medicare Avantage","standard_charge_dollar":18.8900,"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":14.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.5000,"methodology":"fee schedule"}]}]},{"description":"Leishmania Antibody","code_information":[
                 { "code": "86717", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":58.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":58.0000,"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":11.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.9300,"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":11.9300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.1200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.9300,"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"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.9300,"methodology":"fee schedule"}]}]},{"description":"Leptospira Antibody","code_information":[
                 { "code": "86720", "type": "CPT" } ],"standard_charges":[{"minimum":56.2400,"maximum":56.2400,"gross_charge":200.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":56.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":56.2400,"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"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.4800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":14.5400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.4800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.4800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"}]}]},{"description":"Listeria Monocytogenes","code_information":[
                 { "code": "86723", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":58.0000,"gross_charge":200.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","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":15.5800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.0000,"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":18.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"}]}]},{"description":"Lymph Choriomeningitis Ab","code_information":[
                 { "code": "86727", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":60.0000,"gross_charge":200.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":58.0000,"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":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":44.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.5500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.8900,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.5500,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.5500,"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":"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":17.7500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.8000,"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":13.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.8000,"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":17.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":49.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":24.0000,"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":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.8000,"methodology":"fee schedule"}]}]},{"description":"Mycoplasma Antibody","code_information":[
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                 { "code": "87075", "type": "CPT" } ],"standard_charges":[{"minimum":8.1800,"maximum":24.0000,"gross_charge":35.0000,"setting":"outpatient","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":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.9100,"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":12.9100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.9100,"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 Medicare Avantage","standard_charge_dollar":11.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.3200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":11.6900,"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":9.0300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.9100,"methodology":"fee schedule"}]}]},{"description":"Culture Anaerobe Ident Each","code_information":[
                 { "code": "87076", "type": "CPT" } ],"standard_charges":[{"minimum":1.7400,"maximum":40.0000,"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":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.0300,"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":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.0300,"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 Medicare Avantage","standard_charge_dollar":9.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":20.0000,"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":8.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.0300,"methodology":"fee schedule"}]}]},{"description":"Culture Aerobic Identify","code_information":[
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                 { "code": "87081", "type": "CPT" } ],"standard_charges":[{"minimum":8.1800,"maximum":23.5000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.4000,"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":14.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.0500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":9.0500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.0500,"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":7.2200,"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 Medicare Avantage","standard_charge_dollar":8.1800,"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":"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":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"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":21.0000,"methodology":"fee schedule"}]}]},{"description":"Culture Of Specimen By Kit","code_information":[
                 { "code": "87084", "type": "CPT" } ],"standard_charges":[{"minimum":1.7400,"maximum":27.0700,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.2200,"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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.7500,"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":11.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":27.0700,"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":11.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.7500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.7500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"}]}]},{"description":"Urine Bacteria Culture","code_information":[
                 { "code": "87088", "type": "CPT" } ],"standard_charges":[{"minimum":6.9900,"maximum":25.6000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.4700,"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 Medicare Avantage","standard_charge_dollar":9.9900,"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":23.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"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":11.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"}]}]},{"description":"Skin Fungi Culture","code_information":[
                 { "code": "87101", "type": "CPT" } ],"standard_charges":[{"minimum":6.6600,"maximum":23.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.0000,"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":10.5200,"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":10.5200,"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":10.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.5200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.5100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":7.3500,"methodology":"fee schedule"}]}]},{"description":"Fungus Isolation Culture","code_information":[
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                 { "code": "87103", "type": "CPT" } ],"standard_charges":[{"minimum":8.6000,"maximum":28.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.0000,"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":12.3000,"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":12.3000,"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":12.3000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.4600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.3000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.3000,"methodology":"fee schedule"}]}]},{"description":"Fungi Identification Yeast","code_information":[
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                 { "code": "87107", "type": "CPT" } ],"standard_charges":[{"minimum":8.9200,"maximum":25.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.0000,"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":14.0900,"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":14.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.0900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.7400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.0900,"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"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.0900,"methodology":"fee schedule"}]}]},{"description":"Mycoplasma","code_information":[
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                 { "code": "87110", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":86.9900,"gross_charge":183.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":86.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.7300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.6800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.7300,"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":26.7300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.7300,"methodology":"fee schedule"},{"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":36.0000,"methodology":"fee schedule"}]}]},{"description":"Mycobacteria Culture","code_information":[
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                 { "code": "87147", "type": "CPT" } ],"standard_charges":[{"minimum":4.4700,"maximum":10.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.0600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":6.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.0600,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.0600,"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":7.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":7.0600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.5000,"methodology":"fee schedule"}]}]},{"description":"Culture Typing Added Method","code_information":[
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                 { "code": "87172", "type": "CPT" } ],"standard_charges":[{"minimum":3.6900,"maximum":15.7600,"gross_charge":10.0000,"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":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.8200,"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":4.2700,"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":5.8200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.0700,"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 Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"}]}]},{"description":"Ova And Parasites Smears","code_information":[
                 { "code": "87177", "type": "CPT" } ],"standard_charges":[{"minimum":3.4800,"maximum":12.7400,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":3.5000,"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":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.9300,"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 Medicare Avantage","standard_charge_dollar":10.9900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":10.9900,"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":3.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"}]}]},{"description":"Sc Std Agar Dilution Per Agt","code_information":[
                 { "code": "87181", "type": "CPT" } ],"standard_charges":[{"minimum":1.7400,"maximum":10.0000,"gross_charge":75.0000,"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":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.4800,"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":4.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":3.0000,"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":6.4800,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.4800,"methodology":"fee schedule"}]}]},{"description":"Sc Std Disk Method Per Plate","code_information":[
                 { "code": "87184", "type": "CPT" } ],"standard_charges":[{"minimum":1.7400,"maximum":8.5100,"gross_charge":75.0000,"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":6.6500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.9300,"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":7.9300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":6.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.9300,"methodology":"fee schedule"}]}]},{"description":"Sc Std Microdil\/agar Dil","code_information":[
                 { "code": "87186", "type": "CPT" } ],"standard_charges":[{"minimum":1.7400,"maximum":50.0000,"gross_charge":20.0000,"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":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.6700,"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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.6700,"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":11.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":10.6700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.6700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":8.2500,"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":"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":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.7100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.7100,"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":7.7100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.7100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":60.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.3100,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.7100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.3100,"methodology":"fee schedule"}]}]},{"description":"Smear Gram Stain","code_information":[
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                 { "code": "87276", "type": "CPT" } ],"standard_charges":[{"minimum":11.5900,"maximum":55.0000,"gross_charge":130.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"}]}]},{"description":"Respiratory Syncytial Ag If","code_information":[
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                 { "code": "87281", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":60.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":60.0000,"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":14.8000,"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":14.8000,"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":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"}]}]},{"description":"Antibody Detection Nos If","code_information":[
                 { "code": "87299", "type": "CPT" } ],"standard_charges":[{"minimum":9.0000,"maximum":25.0000,"gross_charge":165.0000,"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.1000,"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":16.1000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.1000,"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":11.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":9.0000,"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"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.1000,"methodology":"fee schedule"}]}]},{"description":"Adenovirus Ag Ia","code_information":[
                 { "code": "87301", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":35.0000,"gross_charge":550.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"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":"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":14.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"}]}]},{"description":"Aspergillus Ag Ia","code_information":[
                 { "code": "87305", "type": "CPT" } ],"standard_charges":[{"minimum":14.8000,"maximum":19.2000,"gross_charge":390.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"}]}]},{"description":"Chylmd Trach Ag Ia","code_information":[
                 { "code": "87320", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":35.0900,"gross_charge":31.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.0000,"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":"Champva","plan_name":"Champva 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":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Clostridium Ag Ia","code_information":[
                 { "code": "87324", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":50.0000,"gross_charge":166.0000,"setting":"outpatient","payers_information":[{"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":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8000,"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":11.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8000,"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":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"}]}]},{"description":"Cryptococcus Neoform Ag Ia","code_information":[
                 { "code": "87327", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":50.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"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":"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"}]}]},{"description":"Cryptosporidium Ag Ia","code_information":[
                 { "code": "87328", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":60.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":10.3800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA 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":14.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.8000,"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":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":500.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8000,"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":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8000,"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 Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"}]}]},{"description":"Cytomegalovirus Ag Ia","code_information":[
                 { "code": "87332", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":65.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":65.0000,"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":14.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8000,"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":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"}]}]},{"description":"Protozoa Antibody Nos","code_information":[
                 { "code": "87336", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":34.8000,"gross_charge":185.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","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":10.3800,"methodology":"fee schedule"}]}]},{"description":"Entamoeb Hist Group Ag Ia","code_information":[
                 { "code": "87337", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":50.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8000,"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":25.0000,"methodology":"fee schedule"}]}]},{"description":"Hpylori Stool Ag Ia","code_information":[
                 { "code": "87338", "type": "CPT" } ],"standard_charges":[{"minimum":10.0700,"maximum":50.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.7600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0700,"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":17.7600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":17.7600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.7600,"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 Medicare Avantage","standard_charge_dollar":17.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.6700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.7600,"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"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.7600,"methodology":"fee schedule"}]}]},{"description":"H Pylori Ag Ia","code_information":[
                 { "code": "87339", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":50.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":10.3800,"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"}]}]},{"description":"Hepatitis B Surface Ag Ia","code_information":[
                 { "code": "87340", "type": "CPT" } ],"standard_charges":[{"minimum":8.7000,"maximum":20.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"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":13.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.7500,"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":10.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.7500,"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":12.7500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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 Medicare Avantage","standard_charge_dollar":12.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.2600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":12.7500,"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":9.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.7500,"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":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":26.0000,"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":14.2300,"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":11.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.2300,"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":14.2300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.2300,"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 Medicare Avantage","standard_charge_dollar":14.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":14.2300,"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":10.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.2300,"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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.2600,"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":20.2600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.2600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"}]}]},{"description":"Histoplasma Capsul Ag Ia","code_information":[
                 { "code": "87385", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":115.0000,"gross_charge":210.0000,"setting":"outpatient","payers_information":[{"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":115.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8000,"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":14.8000,"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":14.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":10.3800,"methodology":"fee schedule"}]}]},{"description":"Hiv-1 Ag Ia","code_information":[
                 { "code": "87390", "type": "CPT" } ],"standard_charges":[{"minimum":16.8200,"maximum":120.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"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":120.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":33.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":28.0000,"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":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.0600,"methodology":"fee schedule"}]}]},{"description":"Rotavirus Ag Ia","code_information":[
                 { "code": "87425", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":40.0000,"gross_charge":49.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"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":"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"}]}]},{"description":"Sarscov Coronavirus Ag Ia","code_information":[
                 { "code": "87426", "type": "CPT" } ],"standard_charges":[{"minimum":42.1300,"maximum":70.2300,"gross_charge":160.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":67.1300,"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":60.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":70.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":68.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":70.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":60.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":70.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":70.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":70.2300,"methodology":"fee schedule"}]}]},{"description":"Shiga-like Toxin Ag Ia","code_information":[
                 { "code": "87427", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":40.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"}]}]},{"description":"Sarscov  Inf Vir Ab Ag Ia","code_information":[
                 { "code": "87428", "type": "CPT" } ],"standard_charges":[{"minimum":70.2900,"maximum":70.2900,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":70.2900,"methodology":"fee schedule"}]}]},{"description":"Strep A Ag Ia","code_information":[
                 { "code": "87430", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":35.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.8100,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.8100,"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":16.8100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":"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":16.8100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Nos Each Organism Ag Ia","code_information":[
                 { "code": "87449", "type": "CPT" } ],"standard_charges":[{"minimum":10.3600,"maximum":80.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"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":80.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8000,"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":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8000,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8000,"methodology":"fee schedule"}]}]},{"description":"Lyme Dis Dna Amp Probe","code_information":[
                 { "code": "87476", "type": "CPT" } ],"standard_charges":[{"minimum":33.4600,"maximum":50.2700,"gross_charge":700.0000,"setting":"outpatient","payers_information":[{"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":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":38.2400,"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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"}]}]},{"description":"Chylmd Trach Ag Ia","code_information":[
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                 { "code": "87496", "type": "CPT" } ],"standard_charges":[{"minimum":30.3300,"maximum":50.2700,"gross_charge":450.0000,"setting":"outpatient","payers_information":[{"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":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":50.0000,"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":43.3300,"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"}]}]},{"description":"Enterovirus Proberevrs Trns","code_information":[
                 { "code": "87498", "type": "CPT" } ],"standard_charges":[{"minimum":26.4700,"maximum":56.0000,"gross_charge":475.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":43.3300,"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":43.3300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":43.3300,"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":43.3300,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"}]}]},{"description":"Gardner Vag Dna Dir Probe","code_information":[
                 { "code": "87510", "type": "CPT" } ],"standard_charges":[{"minimum":19.1200,"maximum":30.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"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":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.7600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":19.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.7600,"methodology":"fee schedule"}]}]},{"description":"Gardner Vag Dna Amp Probe","code_information":[
                 { "code": "87511", "type": "CPT" } ],"standard_charges":[{"minimum":33.4600,"maximum":50.2700,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"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":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":33.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"}]}]},{"description":"Hepatitis B Dna Amp Probe","code_information":[
                 { "code": "87516", "type": "CPT" } ],"standard_charges":[{"minimum":19.1200,"maximum":78.0000,"gross_charge":402.0000,"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 Commercial","standard_charge_dollar":78.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":172.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":215.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":43.3300,"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 Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":38.2400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":170.0000,"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":43.3300,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"}]}]},{"description":"Hepatitis B Dna Quant","code_information":[
                 { "code": "87517", "type": "CPT" } ],"standard_charges":[{"minimum":37.0200,"maximum":170.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":52.8800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":52.8800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":42.8400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":37.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":52.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":46.6800,"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 Medicare Avantage","standard_charge_dollar":52.8800,"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":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":52.8800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":52.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":52.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":170.0000,"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":52.8800,"methodology":"fee schedule"}]}]},{"description":"Hepatitis C Rna Dir Probe","code_information":[
                 { "code": "87520", "type": "CPT" } ],"standard_charges":[{"minimum":19.1200,"maximum":156.6000,"gross_charge":36.0000,"setting":"outpatient","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":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":31.2200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":31.2200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":31.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":31.2200,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.2200,"methodology":"fee schedule"}]}]},{"description":"Hepatitis C Probervrs Trnsc","code_information":[
                 { "code": "87521", "type": "CPT" } ],"standard_charges":[{"minimum":25.0000,"maximum":200.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":43.3300,"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 Health Maintenance Organization","standard_charge_dollar":33.4600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":78.0000,"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":43.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":38.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":52.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Del Estado","plan_name":"Fondo Del Seguro Del Estado Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":200.0000,"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":43.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":43.3300,"methodology":"fee schedule"}]}]},{"description":"Hepatitis C Revrs Trnscrpj","code_information":[
                 { "code": "87522", "type": "CPT" } ],"standard_charges":[{"minimum":37.0200,"maximum":200.0000,"gross_charge":285.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":200.0000,"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":52.8800,"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":42.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":52.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":156.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":52.8800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":52.8800,"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 Medicare Avantage","standard_charge_dollar":52.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":46.6800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":200.0000,"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":40.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":37.0200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":52.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":52.8800,"methodology":"fee schedule"}]}]},{"description":"Hsv Dna Dir Probe","code_information":[
                 { "code": "87528", "type": "CPT" } ],"standard_charges":[{"minimum":19.1200,"maximum":30.0000,"gross_charge":374.0000,"setting":"outpatient","payers_information":[{"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":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.7600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.7600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos 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":19.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.7600,"methodology":"fee schedule"}]}]},{"description":"Hsv Dna Amp Probe","code_information":[
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                 { "code": "87592", "type": "CPT" } ],"standard_charges":[{"minimum":37.0200,"maximum":70.0000,"gross_charge":193.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":52.8800,"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":52.8800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":52.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":52.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":52.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":40.8500,"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":70.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":52.8800,"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":52.8800,"methodology":"fee schedule"}]}]},{"description":"Hpv Low-risk Types","code_information":[
                 { "code": "87623", "type": "CPT" } ],"standard_charges":[{"minimum":47.8000,"maximum":120.0000,"gross_charge":330.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":52.0300,"methodology":"fee schedule"}]}]},{"description":"Resp Virus 12-25 Targets","code_information":[
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                 { "code": "87635", "type": "CPT" } ],"standard_charges":[{"minimum":51.3100,"maximum":95.0000,"gross_charge":160.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":76.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":76.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":76.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":76.3300,"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 Medicare Avantage","standard_charge_dollar":93.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":76.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":76.3300,"methodology":"fee schedule"}]}]},{"description":"Detect Agent Nos Dna Dir","code_information":[
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                 { "code": "87803", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":30.0000,"gross_charge":159.0000,"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":14.8600,"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":14.8600,"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":14.8600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8600,"methodology":"fee schedule"}]}]},{"description":"Influenza Assay W\/optic","code_information":[
                 { "code": "87804", "type": "CPT" } ],"standard_charges":[{"minimum":11.5900,"maximum":55.0000,"gross_charge":130.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.5500,"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":16.5500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":37.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":26.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.5500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.5500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.0000,"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":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.5500,"methodology":"fee schedule"}]}]},{"description":"Chlmyd Trach Assay W\/optic","code_information":[
                 { "code": "87810", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":40.0000,"gross_charge":180.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8600,"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":14.8600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":35.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8600,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8600,"methodology":"fee schedule"},{"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":25.0000,"methodology":"fee schedule"}]}]},{"description":"N. Gonorrhoeae Assay W\/optic","code_information":[
                 { "code": "87850", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":40.0000,"gross_charge":35.0000,"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":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":24.5600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.5600,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.5600,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.5600,"methodology":"fee schedule"}]}]},{"description":"Agent Nos Assay W\/optic","code_information":[
                 { "code": "87899", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":105.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.0700,"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":16.0700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":105.0000,"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"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.0700,"methodology":"fee schedule"}]}]},{"description":"Nfct Agt Gntyp Alys Hiv1 Rev","code_information":[
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                 { "code": "87902", "type": "CPT" } ],"standard_charges":[{"minimum":30.0000,"maximum":368.7300,"gross_charge":330.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":360.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":317.8400,"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":257.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":317.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":350.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":317.8400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":317.8400,"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 Medicare Avantage","standard_charge_dollar":317.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":280.5500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":200.0000,"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":245.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":222.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":317.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":317.8400,"methodology":"fee schedule"}]}]},{"description":"Phenotype Dna Hiv W\/culture","code_information":[
                 { "code": "87903", "type": "CPT" } ],"standard_charges":[{"minimum":247.9500,"maximum":699.8800,"gross_charge":816.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":680.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":603.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":603.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":665.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":603.2800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":603.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":603.2800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":422.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":603.2800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":465.9500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":603.2800,"methodology":"fee schedule"}]}]},{"description":"Flowcytometry\/ Tc 1 Marker","code_information":[
                 { "code": "88184", "type": "CPT" } ],"standard_charges":[{"minimum":35.0000,"maximum":76.2000,"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":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":76.2000,"methodology":"fee schedule"}]}]},{"description":"Flowcytometry\/tc Add-on","code_information":[
                 { "code": "88185", "type": "CPT" } ],"standard_charges":[{"minimum":11.3100,"maximum":42.0000,"gross_charge":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.3100,"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":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":22.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.5700,"methodology":"fee schedule"}]}]},{"description":"Tissue Culture Lymphocyte","code_information":[
                 { "code": "88230", "type": "CPT" } ],"standard_charges":[{"minimum":19.5900,"maximum":580.0000,"gross_charge":320.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":580.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":580.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":143.8200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":143.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":143.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":330.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":143.8200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":143.8200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":143.8200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":143.8200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":143.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":413.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":143.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":143.8200,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":580.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":116.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":100.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":143.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":143.8200,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":143.8200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":143.8200,"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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":181.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":127.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":181.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":181.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":568.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":181.8100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":150.3000,"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"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":181.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":181.8100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":181.8100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"}]}]},{"description":"Tissue Culture Bone Marrow","code_information":[
                 { "code": "88237", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":155.9300,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":155.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":155.9300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":155.9300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":155.9300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":155.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":155.9300,"methodology":"fee schedule"}]}]},{"description":"Chromosome Analysis 20-25","code_information":[
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                 { "code": "88264", "type": "CPT" } ],"standard_charges":[{"minimum":107.7200,"maximum":550.0000,"gross_charge":550.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":153.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":107.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":153.8800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"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":153.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":153.8800,"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":153.8800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":153.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":153.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":144.6100,"methodology":"fee schedule"}]}]},{"description":"Chromosome Analys Placenta","code_information":[
                 { "code": "88267", "type": "CPT" } ],"standard_charges":[{"minimum":155.3700,"maximum":612.0000,"gross_charge":550.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":510.0000,"methodology":"fee schedule"},{"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":221.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":221.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":510.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":221.9500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":221.9500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":221.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":221.9500,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":510.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":155.3700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":221.9500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":171.4200,"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":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":460.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":460.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.4400,"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":26.4400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.4400,"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 Medicare Avantage","standard_charge_dollar":26.4400,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":460.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.4400,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.4400,"methodology":"fee schedule"}]}]},{"description":"Cytogenetics 25-99","code_information":[
                 { "code": "88274", "type": "CPT" } ],"standard_charges":[{"minimum":33.1900,"maximum":800.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":800.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":800.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":42.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":42.9800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":42.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":42.9800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":800.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":33.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":42.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":42.9800,"methodology":"fee schedule"}]}]},{"description":"Chromosome Karyotype Study","code_information":[
                 { "code": "88280", "type": "CPT" } ],"standard_charges":[{"minimum":23.4300,"maximum":60.0000,"gross_charge":660.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA 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":33.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":46.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":33.4700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":33.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":33.4700,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":33.4700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.9300,"methodology":"fee schedule"}]}]},{"description":"Chromosome Banding Study","code_information":[
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                 { "code": "88285", "type": "CPT" } ],"standard_charges":[{"minimum":5.2200,"maximum":45.0000,"gross_charge":495.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":26.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.9100,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.9100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.1200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":45.0000,"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":26.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":26.9100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.9100,"methodology":"fee schedule"}]}]},{"description":"Tissue Culture Lymphocyte","code_information":[
                 { "code": "88289", "type": "CPT" } ],"standard_charges":[{"minimum":29.4300,"maximum":143.8200,"gross_charge":580.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.8400,"methodology":"fee schedule"}]}]},{"description":"Cyto\/molecular Report","code_information":[
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                 { "code": "89320", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":30.0000,"gross_charge":45.0000,"setting":"outpatient","payers_information":[{"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":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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8800,"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":14.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.0000,"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":14.8800,"methodology":"fee schedule"},{"payer_name":"Veteranos","plan_name":"Veteranos Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.3100,"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":14.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Commercial","standard_charge_dollar":14.8800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.8800,"methodology":"fee schedule"}]}]},{"description":"Sperm Antibody Test","code_information":[
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