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                 { "code": "74270", "type": "CPT" } ],"standard_charges":[{"minimum":38.5000,"maximum":180.0000,"gross_charge":240.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":38.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":164.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":102.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":153.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":135.0100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":102.2900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":158.2600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":102.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":164.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":58.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":164.5600,"methodology":"fee schedule"}]}]},{"description":"X-ray Xm Colon 2cntrst Std","code_information":[
                 { "code": "74280", "type": "CPT" } ],"standard_charges":[{"minimum":70.0000,"maximum":232.3300,"gross_charge":260.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":160.2300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":228.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":181.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":217.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":194.7500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":160.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":232.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":73.1400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":232.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":160.2300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":181.5000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":232.3300,"methodology":"fee schedule"}]}]},{"description":"Ther Nma Rdctj Intus\/obstrcj","code_information":[
                 { "code": "74283", "type": "CPT" } ],"standard_charges":[{"minimum":142.0000,"maximum":750.0000,"gross_charge":360.0000,"setting":"both","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":239.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":400.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":165.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":214.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":750.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":449.7300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":142.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":142.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":165.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":322.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":260.9400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":165.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":239.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":438.7600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":750.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":167.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":239.2900,"methodology":"fee schedule"}]}]},{"description":"X-ray For Pancreas Endoscopy","code_information":[
                 { "code": "74329", "type": "CPT" } ],"standard_charges":[{"minimum":75.0000,"maximum":120.9300,"gross_charge":1398.0000,"setting":"both","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":117.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":120.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":108.3000,"methodology":"fee schedule"}]}]},{"description":"X-ray Bile\/panc Endoscopy","code_information":[
                 { "code": "74330", "type": "CPT" } ],"standard_charges":[{"minimum":51.3600,"maximum":201.0000,"gross_charge":819.5000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":201.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":104.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":51.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":104.2400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":201.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":124.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":188.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":82.8800,"methodology":"fee schedule"}]}]},{"description":"X-ray Bile Duct Dilation","code_information":[
                 { "code": "74363", "type": "CPT" } ],"standard_charges":[{"minimum":55.0000,"maximum":298.7200,"gross_charge":75.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":298.7200,"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":96.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":168.2000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":217.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":99.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":94.3800,"methodology":"fee schedule"}]}]},{"description":"Urography Iv -kub Tomog","code_information":[
                 { "code": "74400", "type": "CPT" } ],"standard_charges":[{"minimum":66.3000,"maximum":140.0000,"gross_charge":290.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":82.1400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":138.9400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":82.1400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":73.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":73.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":121.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":66.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":121.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":108.6000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":82.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":112.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":118.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":71.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":121.7900,"methodology":"fee schedule"}]}]},{"description":"Urography Rtrgr -kub","code_information":[
                 { "code": "74420", "type": "CPT" } ],"standard_charges":[{"minimum":33.6000,"maximum":154.5000,"gross_charge":250.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":33.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":73.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":64.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":154.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":65.3700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"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":78.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":73.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":43.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":154.5000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":92.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":73.1600,"methodology":"fee schedule"}]}]},{"description":"Urography Antegrade Rsi","code_information":[
                 { "code": "74425", "type": "CPT" } ],"standard_charges":[{"minimum":32.0000,"maximum":158.0900,"gross_charge":338.0000,"setting":"both","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":118.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":82.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":82.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":158.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":53.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":139.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":32.1800,"methodology":"fee schedule"}]}]},{"description":"Contrast X-ray Bladder","code_information":[
                 { "code": "74430", "type": "CPT" } ],"standard_charges":[{"minimum":15.0100,"maximum":51.0000,"gross_charge":210.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":39.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":34.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.0100,"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":26.7700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":15.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":32.1800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"}]}]},{"description":"X-ray Exam Of Penis","code_information":[
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                 { "code": "78016", "type": "CPT" } ],"standard_charges":[{"minimum":30.1300,"maximum":259.4600,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":30.1300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":30.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":259.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":259.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":234.0600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":63.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":259.4600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":259.4600,"methodology":"fee schedule"}]}]},{"description":"Thyroid Met Imaging Body","code_information":[
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                 { "code": "78223", "type": "CPT" } ],"standard_charges":[{"minimum":130.0000,"maximum":818.0000,"gross_charge":180.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"}]}]},{"description":"Hepatobil Syst Image W\/drug","code_information":[
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                 { "code": "78227", "type": "CPT" } ],"standard_charges":[{"minimum":130.0000,"maximum":818.0000,"gross_charge":180.0000,"setting":"both","payers_information":[{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":274.1500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":461.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":370.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":461.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":409.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":274.1500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":343.0700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":274.1500,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":344.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"}]}]},{"description":"Salivary Glnd Img Serial Img","code_information":[
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                 { "code": "78232", "type": "CPT" } ],"standard_charges":[{"minimum":103.3600,"maximum":150.0000,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":103.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"Esophageal Motility","code_information":[
                 { "code": "78258", "type": "CPT" } ],"standard_charges":[{"minimum":107.0000,"maximum":401.6800,"gross_charge":275.0000,"setting":"both","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":169.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":260.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":225.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":228.1600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":169.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":225.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":228.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":224.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":107.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":401.6800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":169.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":225.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":260.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"}]}]},{"description":"Gastroesophageal Reflux Std","code_information":[
                 { "code": "78262", "type": "CPT" } ],"standard_charges":[{"minimum":185.6400,"maximum":413.7800,"gross_charge":574.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":248.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":413.7800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":185.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":248.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":380.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":370.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":185.6400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":185.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":248.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":370.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":380.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":248.5800,"methodology":"fee schedule"}]}]},{"description":"Gastric Emptying Img Study","code_information":[
                 { "code": "78264", "type": "CPT" } ],"standard_charges":[{"minimum":165.0000,"maximum":433.1200,"gross_charge":180.0000,"setting":"both","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":343.7700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":330.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":243.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":343.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":330.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":346.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":433.1200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":252.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":243.7600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":343.7700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":252.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":252.4100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":250.0000,"methodology":"fee schedule"}]}]},{"description":"Acute Gi Blood Loss Imaging","code_information":[
                 { "code": "78278", "type": "CPT" } ],"standard_charges":[{"minimum":190.0000,"maximum":441.4300,"gross_charge":270.0000,"setting":"both","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":359.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":441.4300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":265.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":359.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":410.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":370.5000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":265.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":265.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":359.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":370.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":410.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":195.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":359.4600,"methodology":"fee schedule"}]}]},{"description":"Intestine Imaging","code_information":[
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                 { "code": "78804", "type": "CPT" } ],"standard_charges":[{"minimum":152.0000,"maximum":1209.7000,"gross_charge":300.0000,"setting":"both","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":370.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":180.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":588.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":370.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":152.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":588.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":180.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":588.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":588.4000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":425.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":185.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":425.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":1209.7000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":425.8000,"methodology":"fee schedule"}]}]},{"description":"Rp Loclzj Tum Spect W\/ct 1","code_information":[
                 { "code": "78830", "type": "CPT" } ],"standard_charges":[{"minimum":140.0000,"maximum":760.0000,"gross_charge":600.0000,"setting":"both","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"}]}]},{"description":"Basic Metabolic Pnl Total Ca","code_information":[
                 { "code": "80048", "type": "CPT" } ],"standard_charges":[{"minimum":8.0600,"maximum":40.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.2900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.9800,"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":12.0000,"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":"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":11.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.2900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":8.4600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":11.5100,"methodology":"fee schedule"}]}]},{"description":"Electrolyte Panel","code_information":[
                 { "code": "80051", "type": "CPT" } ],"standard_charges":[{"minimum":7.0100,"maximum":25.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.5500,"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":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 Health Maintenance Organization","standard_charge_dollar":9.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":9.5500,"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":10.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":7.0100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":18.0000,"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":9.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"}]}]},{"description":"Comprehen Metabolic Panel","code_information":[
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                 { "code": "80164", "type": "CPT" } ],"standard_charges":[{"minimum":12.9200,"maximum":40.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.4600,"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":12.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.5400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ethosuximide","code_information":[
                 { "code": "80168", "type": "CPT" } ],"standard_charges":[{"minimum":2.0000,"maximum":36.0000,"gross_charge":55.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.2600,"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":2.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":32.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.1500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":22.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":32.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":31.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.3400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.2400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.2600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":32.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Gentamicin","code_information":[
                 { "code": "80170", "type": "CPT" } ],"standard_charges":[{"minimum":16.3800,"maximum":60.0000,"gross_charge":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.2100,"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":22.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":22.3000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":22.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life 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":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.3800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.3000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.3000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Haloperidol","code_information":[
                 { "code": "80173", "type": "CPT" } ],"standard_charges":[{"minimum":15.7800,"maximum":80.0000,"gross_charge":85.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":74.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":19.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.7800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.8400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lidocaine","code_information":[
                 { "code": "80176", "type": "CPT" } ],"standard_charges":[{"minimum":14.6900,"maximum":60.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.0100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":19.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.6900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.0100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.0100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"}]}]},{"description":"Drug Scrn Quan Levetiracetam","code_information":[
                 { "code": "80177", "type": "CPT" } ],"standard_charges":[{"minimum":14.4300,"maximum":64.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.0900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lithium","code_information":[
                 { "code": "80178", "type": "CPT" } ],"standard_charges":[{"minimum":6.6100,"maximum":16.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.6100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.0100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.6000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.0100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.0100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Phenobarbital","code_information":[
                 { "code": "80184", "type": "CPT" } ],"standard_charges":[{"minimum":15.3000,"maximum":40.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.6000,"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":19.9800,"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 Health Maintenance Organization","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":15.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.4900,"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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.5800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Phenytoin Total","code_information":[
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                 { "code": "80186", "type": "CPT" } ],"standard_charges":[{"minimum":13.7600,"maximum":54.0000,"gross_charge":91.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.7300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.7600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Procainamide","code_information":[
                 { "code": "80190", "type": "CPT" } ],"standard_charges":[{"minimum":22.8000,"maximum":60.0000,"gross_charge":70.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.7200,"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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.8200,"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":29.2500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":22.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.8200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Quinidine","code_information":[
                 { "code": "80194", "type": "CPT" } ],"standard_charges":[{"minimum":14.6000,"maximum":44.0000,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":19.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":38.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.8700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sirolimus","code_information":[
                 { "code": "80195", "type": "CPT" } ],"standard_charges":[{"minimum":13.7300,"maximum":64.0000,"gross_charge":273.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.7100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.7100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.7100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.7100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Tacrolimus","code_information":[
                 { "code": "80197", "type": "CPT" } ],"standard_charges":[{"minimum":13.7300,"maximum":150.0000,"gross_charge":190.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.7100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":81.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.4500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.7100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":82.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.7100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.6900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.1700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Theophylline","code_information":[
                 { "code": "80198", "type": "CPT" } ],"standard_charges":[{"minimum":14.1400,"maximum":40.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"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":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.3800,"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":19.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":19.2500,"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":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Tobramycin","code_information":[
                 { "code": "80200", "type": "CPT" } ],"standard_charges":[{"minimum":16.1300,"maximum":70.0000,"gross_charge":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":29.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.1300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":21.9600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.9600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":23.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.9600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.9600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Topiramate","code_information":[
                 { "code": "80201", "type": "CPT" } ],"standard_charges":[{"minimum":11.9200,"maximum":125.0000,"gross_charge":85.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.2400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":17.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.2400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.9200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.2400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vancomycin","code_information":[
                 { "code": "80202", "type": "CPT" } ],"standard_charges":[{"minimum":13.5400,"maximum":73.9900,"gross_charge":141.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":73.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":73.9900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":61.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.5400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.4600,"methodology":"fee schedule"}]}]},{"description":"Drug Scrn Quant Oxcarbazepin","code_information":[
                 { "code": "80299", "type": "CPT" } ],"standard_charges":[{"minimum":18.6400,"maximum":64.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva 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                 { "code": "81003", "type": "CPT" } ],"standard_charges":[{"minimum":1.9200,"maximum":4.0000,"gross_charge":5.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":3.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":1.9500,"methodology":"fee schedule"},{"payer_name":"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":3.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.1800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":3.2200,"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":2.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":3.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":1.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":3.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":2.2500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.2200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":3.0600,"methodology":"fee schedule"}]}]},{"description":"Urinalysis","code_information":[
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                 { "code": "81229", "type": "CPT" } ],"standard_charges":[{"minimum":506.1400,"maximum":506.1400,"gross_charge":1960.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":506.1400,"methodology":"fee schedule"}]}]},{"description":"F2 Gene","code_information":[
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                 { "code": "81241", "type": "CPT" } ],"standard_charges":[{"minimum":66.5300,"maximum":83.2400,"gross_charge":198.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":83.2400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":73.3700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":83.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":83.2400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":83.2400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":83.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":83.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":66.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":83.2400,"methodology":"fee schedule"}]}]},{"description":"Analgesics Non-opioid 1 Or 2","code_information":[
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                 { "code": "82013", "type": "CPT" } ],"standard_charges":[{"minimum":12.2900,"maximum":95.0000,"gross_charge":382.0000,"setting":"outpatient","payers_information":[{"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":30.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano 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":80.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.2100,"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":64.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.2900,"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":15.2100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.2100,"methodology":"fee schedule"}]}]},{"description":"Acylcarnitines Quant","code_information":[
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                 { "code": "82024", "type": "CPT" } ],"standard_charges":[{"minimum":38.6200,"maximum":140.0000,"gross_charge":141.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":52.6100,"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":95.5500,"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 Health Maintenance Organization","standard_charge_dollar":54.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":52.6100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":55.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":52.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":95.5500,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":52.6100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":52.6100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":38.6200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":55.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Adp  Amp","code_information":[
                 { "code": "82030", "type": "CPT" } ],"standard_charges":[{"minimum":24.6000,"maximum":116.0000,"gross_charge":175.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":25.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":36.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":35.1400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.1400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":36.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.1400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":116.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serum Albumin","code_information":[
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                 { "code": "82248", "type": "CPT" } ],"standard_charges":[{"minimum":4.9600,"maximum":12.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.0200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8300,"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":8.7800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":8.7800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.8300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Biotinidase","code_information":[
                 { "code": "82261", "type": "CPT" } ],"standard_charges":[{"minimum":16.8700,"maximum":35.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.8700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"}]}]},{"description":"Occult Blood Feces","code_information":[
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                 { "code": "82271", "type": "CPT" } ],"standard_charges":[{"minimum":4.4300,"maximum":25.2300,"gross_charge":26.0000,"setting":"outpatient","payers_information":[{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.3200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.4300,"methodology":"fee schedule"}]}]},{"description":"Assay Test For Blood Fecal","code_information":[
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                 { "code": "82274", "type": "CPT" } ],"standard_charges":[{"minimum":4.4300,"maximum":25.2300,"gross_charge":26.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.1700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.6400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":22.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.6700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.9200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.7800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cadmium","code_information":[
                 { "code": "82300", "type": "CPT" } ],"standard_charges":[{"minimum":21.0400,"maximum":79.0000,"gross_charge":90.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.5200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":58.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":31.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":32.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":58.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":31.5200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":32.5700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":58.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":58.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":31.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":57.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":31.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.5200,"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":31.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":23.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":23.6400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":32.5700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":58.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":58.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":22.0600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.5200,"methodology":"fee schedule"}]}]},{"description":"Vitamin D 25 Hydroxy","code_information":[
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                 { "code": "82308", "type": "CPT" } ],"standard_charges":[{"minimum":25.5400,"maximum":120.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":107.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":113.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.9300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":38.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":113.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":113.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":110.6500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":36.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":38.3600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":113.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":104.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":36.4900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Calcium","code_information":[
                 { "code": "82310", "type": "CPT" } ],"standard_charges":[{"minimum":4.9200,"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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.9200,"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":6.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.0300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.0300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.3900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Calcium","code_information":[
                 { "code": "82330", "type": "CPT" } ],"standard_charges":[{"minimum":10.0200,"maximum":52.0000,"gross_charge":70.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":37.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.3600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":10.0200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":38.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":38.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":37.5300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.6800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.0200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Calcium In Urine","code_information":[
                 { "code": "82340", "type": "CPT" } ],"standard_charges":[{"minimum":5.7500,"maximum":15.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.2100,"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":5.7500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.2100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Chloride","code_information":[
                 { "code": "82345", "type": "CPT" } ],"standard_charges":[{"minimum":4.6000,"maximum":10.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Calculus Analysis Qual","code_information":[
                 { "code": "82355", "type": "CPT" } ],"standard_charges":[{"minimum":9.0000,"maximum":35.0000,"gross_charge":67.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.3900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":16.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":30.2200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.5800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.5800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.9900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":30.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.7700,"methodology":"fee schedule"}]}]},{"description":"Calculus Analysis Qual","code_information":[
                 { "code": "82360", "type": "CPT" } ],"standard_charges":[{"minimum":9.0000,"maximum":35.0000,"gross_charge":67.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"}]}]},{"description":"Assay C-d Transfer Measure","code_information":[
                 { "code": "82373", "type": "CPT" } ],"standard_charges":[{"minimum":16.0000,"maximum":80.0000,"gross_charge":490.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":"Medicare","plan_name":"Medicare","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Blood Carbon Dioxide","code_information":[
                 { "code": "82374", "type": "CPT" } ],"standard_charges":[{"minimum":4.8800,"maximum":10.0000,"gross_charge":16.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.6600,"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":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":6.6600,"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 Health Maintenance Organization","standard_charge_dollar":6.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.8800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"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":6.6600,"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":6.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Carboxyhb Quant","code_information":[
                 { "code": "82375", "type": "CPT" } ],"standard_charges":[{"minimum":12.3200,"maximum":50.4900,"gross_charge":98.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.7800,"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":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 Health Maintenance Organization","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.7800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":17.6600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":50.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":50.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":49.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.7800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.7800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.3200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.6600,"methodology":"fee schedule"}]}]},{"description":"Carcinoembryonic Antigen","code_information":[
                 { "code": "82378", "type": "CPT" } ],"standard_charges":[{"minimum":18.0900,"maximum":62.0000,"gross_charge":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":26.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":32.0000,"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":25.8400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":31.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.8400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.8400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":18.9600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.0000,"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":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.8400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Carnitine","code_information":[
                 { "code": "82379", "type": "CPT" } ],"standard_charges":[{"minimum":16.8700,"maximum":105.2400,"gross_charge":160.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.9700,"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":20.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":105.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":105.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":105.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":102.6100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":105.2400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.8700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Carotene","code_information":[
                 { "code": "82380", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":50.9900,"gross_charge":70.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.5700,"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":49.7200,"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 Health Maintenance Organization","standard_charge_dollar":13.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.5700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":50.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":50.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":49.7200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.5700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.9900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.5700,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":9.2200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.2100,"methodology":"fee schedule"}]}]},{"description":"Assay Urine Catecholamines","code_information":[
                 { "code": "82382", "type": "CPT" } ],"standard_charges":[{"minimum":21.0000,"maximum":103.4900,"gross_charge":126.0000,"setting":"outpatient","payers_information":[{"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 Medicare Avantage","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":103.4900,"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":23.4200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":100.9000,"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":100.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":103.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":27.3000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":103.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":103.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"}]}]},{"description":"Assay Blood Catecholamines","code_information":[
                 { "code": "82383", "type": "CPT" } ],"standard_charges":[{"minimum":24.5300,"maximum":130.4900,"gross_charge":126.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.1400,"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":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 Health Maintenance Organization","standard_charge_dollar":35.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":34.1400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":130.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":130.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":127.2300,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.1400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":29.0800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":130.4900,"methodology":"fee schedule"}]}]},{"description":"Assay Three Catecholamines","code_information":[
                 { "code": "82384", "type": "CPT" } ],"standard_charges":[{"minimum":24.5300,"maximum":95.0000,"gross_charge":126.0000,"setting":"outpatient","payers_information":[{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":34.4000,"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":34.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.4000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.4000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":25.2500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ceruloplasmin","code_information":[
                 { "code": "82390", "type": "CPT" } ],"standard_charges":[{"minimum":10.7400,"maximum":36.0000,"gross_charge":42.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.6300,"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":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 Health Maintenance Organization","standard_charge_dollar":15.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":10.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":28.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":27.7800,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":36.0000,"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":14.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.7900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":28.4900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Chloramphenicol","code_information":[
                 { "code": "82415", "type": "CPT" } ],"standard_charges":[{"minimum":12.6700,"maximum":61.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.6700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.2600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Chloride","code_information":[
                 { "code": "82435", "type": "CPT" } ],"standard_charges":[{"minimum":4.6000,"maximum":10.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.2600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.3300,"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":6.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.5100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":6.5800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":4.6000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.5800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.2600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Chloride","code_information":[
                 { "code": "82436", "type": "CPT" } ],"standard_charges":[{"minimum":3.4600,"maximum":11.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.8500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":3.4600,"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":4.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.8500,"methodology":"fee schedule"}]}]},{"description":"Assay Other Fluid Chlorides","code_information":[
                 { "code": "82438", "type": "CPT" } ],"standard_charges":[{"minimum":3.4600,"maximum":10.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.3300,"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":6.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.9300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.3300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.6600,"methodology":"fee schedule"}]}]},{"description":"Test For Chlorohydrocarbons","code_information":[
                 { "code": "82441", "type": "CPT" } ],"standard_charges":[{"minimum":6.0100,"maximum":25.0000,"gross_charge":143.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1800,"methodology":"fee schedule"}]}]},{"description":"Assay Bld\/serum Cholesterol","code_information":[
                 { "code": "82465", "type": "CPT" } ],"standard_charges":[{"minimum":4.3500,"maximum":10.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.9200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8300,"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":5.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":6.2400,"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":7.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.2400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.9200,"methodology":"fee schedule"}]}]},{"description":"Assay Serum Cholinesterase","code_information":[
                 { "code": "82480", "type": "CPT" } ],"standard_charges":[{"minimum":7.8700,"maximum":55.0000,"gross_charge":71.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":7.8700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.7300,"methodology":"fee schedule"}]}]},{"description":"Assay Rbc Cholinesterase","code_information":[
                 { "code": "82482", "type": "CPT" } ],"standard_charges":[{"minimum":9.8100,"maximum":65.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":63.3800,"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":10.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.8800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":63.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":9.8100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":47.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.4600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Chromium","code_information":[
                 { "code": "82495", "type": "CPT" } ],"standard_charges":[{"minimum":20.2800,"maximum":67.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.6300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":29.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.6300,"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":27.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":20.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":20.2800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.5400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.6300,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":67.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":67.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Citrate","code_information":[
                 { "code": "82507", "type": "CPT" } ],"standard_charges":[{"minimum":27.8000,"maximum":100.4900,"gross_charge":107.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":37.8700,"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":97.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":100.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":37.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":39.3800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":100.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":100.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":37.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":97.9800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":37.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":27.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":39.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":100.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":37.8700,"methodology":"fee schedule"}]}]},{"description":"Collagen Crosslinks","code_information":[
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                 { "code": "82525", "type": "CPT" } ],"standard_charges":[{"minimum":12.4100,"maximum":45.4900,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.9000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":16.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":44.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":16.9000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":44.3500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.9000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":16.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.4100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":45.4900,"methodology":"fee schedule"}]}]},{"description":"Cortisol Free","code_information":[
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                 { "code": "82542", "type": "CPT" } ],"standard_charges":[{"minimum":24.6000,"maximum":24.6000,"gross_charge":206.2500,"setting":"outpatient","payers_information":[{"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":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ck (cpk)","code_information":[
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                 { "code": "82570", "type": "CPT" } ],"standard_charges":[{"minimum":4.8800,"maximum":12.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.0500,"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":4.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.4100,"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":5.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","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":7.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.0800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Creatinine Clearance Test","code_information":[
                 { "code": "82575", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":20.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.8800,"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":9.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":13.5300,"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":11.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.8800,"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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.6900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.6900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.6900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cryoglobulin","code_information":[
                 { "code": "82595", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":52.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.8100,"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":9.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.7400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.9900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.8100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cyanide","code_information":[
                 { "code": "82600", "type": "CPT" } ],"standard_charges":[{"minimum":19.4000,"maximum":71.4900,"gross_charge":168.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.4300,"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 Health Maintenance Organization","standard_charge_dollar":27.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":26.4300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":27.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":71.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":71.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":69.7000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":69.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.4300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":19.4000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.7900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":71.4900,"methodology":"fee schedule"}]}]},{"description":"Vitamin B-12","code_information":[
                 { "code": "82607", "type": "CPT" } ],"standard_charges":[{"minimum":14.3800,"maximum":45.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.5400,"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":14.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.6100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.9500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.0800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"}]}]},{"description":"Cystatin C","code_information":[
                 { "code": "82610", "type": "CPT" } ],"standard_charges":[{"minimum":16.2600,"maximum":22.0000,"gross_charge":238.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.5200,"methodology":"fee schedule"}]}]},{"description":"Test For Urine Cystines","code_information":[
                 { "code": "82615", "type": "CPT" } ],"standard_charges":[{"minimum":9.5500,"maximum":29.4900,"gross_charge":85.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.5600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":11.6900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":29.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":28.7500,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.4000,"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":11.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":9.5500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.6900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":29.4900,"methodology":"fee schedule"}]}]},{"description":"Dehydroepiandrosterone","code_information":[
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                 { "code": "82677", "type": "CPT" } ],"standard_charges":[{"minimum":20.9000,"maximum":65.0000,"gross_charge":105.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.9400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.0600,"methodology":"fee schedule"},{"payer_name":"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":32.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":34.2500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":34.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":39.6500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":39.6500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.9000,"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":32.9400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.9400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":39.6500,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":24.1800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":34.6400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Estrone","code_information":[
                 { "code": "82679", "type": "CPT" } ],"standard_charges":[{"minimum":24.9500,"maximum":112.7400,"gross_charge":105.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.0000,"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 Health Maintenance Organization","standard_charge_dollar":35.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":112.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":112.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":109.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":30.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":24.9500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":112.7400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ethylene Glycol","code_information":[
                 { "code": "82693", "type": "CPT" } ],"standard_charges":[{"minimum":14.9000,"maximum":40.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.2900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.2900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.2900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.2900,"methodology":"fee schedule"}]}]},{"description":"Fats\/lipids Feces Qual","code_information":[
                 { "code": "82705", "type": "CPT" } ],"standard_charges":[{"minimum":5.0000,"maximum":15.0000,"gross_charge":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.9300,"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":6.9300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"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":6.9300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.9300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.9300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.1000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.1000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.9300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.9300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.2900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Fatty Acids","code_information":[
                 { "code": "82725", "type": "CPT" } ],"standard_charges":[{"minimum":18.1300,"maximum":54.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":19.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":36.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":29.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":36.0800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":18.7700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.0700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":54.0000,"methodology":"fee schedule"}]}]},{"description":"Long Chain Fatty Acids","code_information":[
                 { "code": "82726", "type": "CPT" } ],"standard_charges":[{"minimum":19.7500,"maximum":300.0000,"gross_charge":318.0000,"setting":"outpatient","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":19.7500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.8600,"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":24.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.0000,"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":39.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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":40.0000,"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":"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":24.6000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ferritin","code_information":[
                 { "code": "82728", "type": "CPT" } ],"standard_charges":[{"minimum":13.0000,"maximum":40.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.6300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.3000,"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":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5700,"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":13.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":19.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.5700,"methodology":"fee schedule"}]}]},{"description":"Amino Acids Single Quant","code_information":[
                 { "code": "82731", "type": "CPT" } ],"standard_charges":[{"minimum":30.0000,"maximum":175.0000,"gross_charge":195.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":87.7400,"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 Medicare Avantage","standard_charge_dollar":87.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":91.2300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":90.1100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":87.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":153.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":87.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":64.4100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":90.1100,"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 Health Maintenance Organization","standard_charge_dollar":153.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":87.7400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Fluoride","code_information":[
                 { "code": "82735", "type": "CPT" } ],"standard_charges":[{"minimum":18.5400,"maximum":145.0000,"gross_charge":143.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":25.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":25.2500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.2500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":26.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.2500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Folic Acid Serum","code_information":[
                 { "code": "82746", "type": "CPT" } ],"standard_charges":[{"minimum":9.7500,"maximum":40.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.0300,"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":20.8200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.0300,"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":9.7500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.0300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Folic Acid Rbc","code_information":[
                 { "code": "82747", "type": "CPT" } ],"standard_charges":[{"minimum":16.6700,"maximum":35.0000,"gross_charge":85.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":23.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":17.6500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.5900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.5900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.5900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Semen Fructose","code_information":[
                 { "code": "82757", "type": "CPT" } ],"standard_charges":[{"minimum":17.3400,"maximum":85.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":62.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.6200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":24.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":62.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":62.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":61.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.4000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":61.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.6200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":17.3400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.8400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":62.9900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Rbc Galactokinase","code_information":[
                 { "code": "82759", "type": "CPT" } ],"standard_charges":[{"minimum":17.0000,"maximum":30.7700,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":21.4800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":29.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.2700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.2700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Galactose","code_information":[
                 { "code": "82760", "type": "CPT" } ],"standard_charges":[{"minimum":9.7500,"maximum":22.0000,"gross_charge":259.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.2500,"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":15.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.8600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":16.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.2000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.2500,"methodology":"fee schedule"}]}]},{"description":"Assay Galactose Transferase","code_information":[
                 { "code": "82775", "type": "CPT" } ],"standard_charges":[{"minimum":21.0700,"maximum":35.0000,"gross_charge":185.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":21.0700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.7000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":30.1700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.7000,"methodology":"fee schedule"}]}]},{"description":"Assay Iga\/igd\/igg\/igm Each","code_information":[
                 { "code": "82784", "type": "CPT" } ],"standard_charges":[{"minimum":8.8700,"maximum":30.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.6700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.6700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.6700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.6700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.6700,"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 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                 { "code": "82785", "type": "CPT" } ],"standard_charges":[{"minimum":16.4600,"maximum":40.0000,"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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.4600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.3200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.4300,"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":26.3300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":23.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.4300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":26.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.4300,"methodology":"fee schedule"}]}]},{"description":"Igg 1 2 3 Or 4 Each","code_information":[
                 { "code": "82787", "type": "CPT" } ],"standard_charges":[{"minimum":5.9900,"maximum":105.0000,"gross_charge":170.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.9200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.9200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.9200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.9200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":92.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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                 { "code": "82951", "type": "CPT" } ],"standard_charges":[{"minimum":4.7500,"maximum":24.0000,"gross_charge":33.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.5000,"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":17.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.5300,"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":17.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.2300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.8700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.5300,"methodology":"fee schedule"}]}]},{"description":"Gtt-added Samples","code_information":[
                 { "code": "82952", "type": "CPT" } ],"standard_charges":[{"minimum":1.9500,"maximum":10.0000,"gross_charge":6.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.3400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":1.9500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":1.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.3400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.3400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":4.1200,"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":2.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.3400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.3400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":3.9200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":3.9200,"methodology":"fee schedule"}]}]},{"description":"Assay Of G6pd Enzyme","code_information":[
                 { "code": "82955", "type": "CPT" } ],"standard_charges":[{"minimum":9.2500,"maximum":43.0000,"gross_charge":98.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":13.8900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":9.7000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.8900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.6000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.2100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Glucosidase","code_information":[
                 { "code": "82963", "type": "CPT" } ],"standard_charges":[{"minimum":21.4800,"maximum":30.7700,"gross_charge":305.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.2700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":29.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":21.4800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":29.2700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.2700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":30.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.2700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ggt","code_information":[
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                 { "code": "82985", "type": "CPT" } ],"standard_charges":[{"minimum":16.7600,"maximum":25.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"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":20.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":22.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":22.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":22.9900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.9900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.7600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.5400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Gonadotropin (fsh)","code_information":[
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                 { "code": "83020", "type": "CPT" } ],"standard_charges":[{"minimum":12.8700,"maximum":28.0000,"gross_charge":16.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.8700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.8700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.5300,"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":23.7900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.4000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Chromotography","code_information":[
                 { "code": "83021", "type": "CPT" } ],"standard_charges":[{"minimum":18.0600,"maximum":35.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS 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":"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":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":25.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":18.0600,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Ftl F Assay Qual","code_information":[
                 { "code": "83033", "type": "CPT" } ],"standard_charges":[{"minimum":5.0000,"maximum":17.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1200,"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":17.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.5800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.1200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Hemoglobin Glycosylated A1c","code_information":[
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                 { "code": "83069", "type": "CPT" } ],"standard_charges":[{"minimum":3.9500,"maximum":10.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.3800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.3800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.3800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.3800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Hemosiderin Qual","code_information":[
                 { "code": "83070", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":20.0000,"gross_charge":49.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.4700,"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":6.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.7300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano 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":6.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"}]}]},{"description":"Assay Of B Hexosaminidase Ea","code_information":[
                 { "code": "83080", "type": "CPT" } ],"standard_charges":[{"minimum":16.8700,"maximum":30.0000,"gross_charge":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.8700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.9700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Histamine","code_information":[
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                 { "code": "83540", "type": "CPT" } ],"standard_charges":[{"minimum":6.1700,"maximum":14.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.8200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.1800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":9.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.8200,"methodology":"fee schedule"}]}]},{"description":"Iron Binding Test","code_information":[
                 { "code": "83550", "type": "CPT" } ],"standard_charges":[{"minimum":8.3400,"maximum":17.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.9100,"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":8.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.3800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":16.5800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":8.7400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ketogenic Steroids","code_information":[
                 { "code": "83582", "type": "CPT" } ],"standard_charges":[{"minimum":15.4700,"maximum":56.4900,"gross_charge":98.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.3100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.4700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":56.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":56.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":56.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.3100,"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":55.0800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":20.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":55.0800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":56.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.3100,"methodology":"fee schedule"}]}]},{"description":"Assay 17- Ketosteroids","code_information":[
                 { "code": "83586", "type": "CPT" } ],"standard_charges":[{"minimum":12.8000,"maximum":25.0000,"gross_charge":119.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.4400,"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":13.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.4400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.4400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.6500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.4400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.4400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.3300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Lactic Acid","code_information":[
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                 { "code": "83615", "type": "CPT" } ],"standard_charges":[{"minimum":6.0400,"maximum":10.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.2200,"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 Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.6400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.0400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.0400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.6400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ldh Enzymes","code_information":[
                 { "code": "83625", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":45.0000,"gross_charge":98.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.7900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.4300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.4800,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":22.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":22.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.4300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.4300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"}]}]},{"description":"Lactoferrin Fecal (quant)","code_information":[
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                 { "code": "83727", "type": "CPT" } ],"standard_charges":[{"minimum":17.1900,"maximum":40.0000,"gross_charge":380.0000,"setting":"outpatient","payers_information":[{"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.4200,"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":23.4200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":24.6300,"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":17.1900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.6300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.4200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Magnesium","code_information":[
                 { "code": "83735", "type": "CPT" } ],"standard_charges":[{"minimum":6.3800,"maximum":15.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.4900,"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":9.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.1200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.1200,"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":6.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.1200,"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":9.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.1200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Manganese","code_information":[
                 { "code": "83785", "type": "CPT" } ],"standard_charges":[{"minimum":25.0000,"maximum":75.0000,"gross_charge":212.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.5100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.5100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":33.5100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":33.5100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":35.2200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":33.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":33.5100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":75.0000,"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":33.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.5100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":33.5100,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":35.2200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":34.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":33.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":33.5100,"methodology":"fee schedule"}]}]},{"description":"Mass Spectrometry Qual\/quan","code_information":[
                 { "code": "83789", "type": "CPT" } ],"standard_charges":[{"minimum":24.1100,"maximum":50.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","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 Commercial","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","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":24.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.6000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.4100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Mercury","code_information":[
                 { "code": "83825", "type": "CPT" } ],"standard_charges":[{"minimum":16.2600,"maximum":70.0000,"gross_charge":98.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":56.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.1400,"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 Health Maintenance Organization","standard_charge_dollar":54.4400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":55.8400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":55.8400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.1400,"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":19.9300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":23.2900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":54.4400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":55.8400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.1400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Metanephrines","code_information":[
                 { "code": "83835", "type": "CPT" } ],"standard_charges":[{"minimum":16.9400,"maximum":110.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":68.0000,"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":23.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":69.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":69.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":69.7400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":69.7400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":69.7400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":78.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":78.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.0700,"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":68.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":23.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"}]}]},{"description":"Mucopolysaccharides","code_information":[
                 { "code": "83864", "type": "CPT" } ],"standard_charges":[{"minimum":20.0000,"maximum":30.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":22.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":29.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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":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":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.1300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":22.9400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.1300,"methodology":"fee schedule"}]}]},{"description":"Assay Synovial Fluid Mucin","code_information":[
                 { "code": "83872", "type": "CPT" } ],"standard_charges":[{"minimum":1.5000,"maximum":12.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.0900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.9400,"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 Commercial","standard_charge_dollar":6.0900,"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":7.9800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.9400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.1500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.0900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":6.1500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Csf Protein","code_information":[
                 { "code": "83873", "type": "CPT" } ],"standard_charges":[{"minimum":17.2000,"maximum":87.2400,"gross_charge":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.4400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":17.2000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":85.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":87.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":87.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":87.2400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.4400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":85.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":85.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.4400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.4400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":24.6400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":87.2400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":82.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Myoglobin","code_information":[
                 { "code": "83874", "type": "CPT" } ],"standard_charges":[{"minimum":12.9200,"maximum":67.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.5100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.5900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.5900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.5100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical 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":18.0400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.0400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":67.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.0400,"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":17.5900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":17.0600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.5900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":17.0600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Natriuretic Peptide","code_information":[
                 { "code": "83880", "type": "CPT" } ],"standard_charges":[{"minimum":39.2600,"maximum":90.0000,"gross_charge":180.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":46.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":46.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":39.2600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":48.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":46.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":47.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":45.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":46.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":45.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":45.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":46.2400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":46.2400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":48.6200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":47.4300,"methodology":"fee schedule"}]}]},{"description":"Assay Nephelometry Not Spec","code_information":[
                 { "code": "83883", "type": "CPT" } ],"standard_charges":[{"minimum":12.9600,"maximum":20.8000,"gross_charge":135.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.6000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.5200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Nickel","code_information":[
                 { "code": "83885", "type": "CPT" } ],"standard_charges":[{"minimum":24.5100,"maximum":120.0000,"gross_charge":148.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":33.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":29.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":33.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":33.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":33.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":24.5100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":33.3800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":33.3800,"methodology":"fee schedule"}]}]},{"description":"Alkaloids Nos","code_information":[
                 { "code": "83887", "type": "CPT" } ],"standard_charges":[{"minimum":32.3100,"maximum":90.0000,"gross_charge":126.0000,"setting":"outpatient","payers_information":[{"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","standard_charge_dollar":32.3100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":32.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","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 Health Maintenance Organization","standard_charge_dollar":65.5600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":67.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":67.2400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":32.3100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":32.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":32.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":65.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":67.2400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":57.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":65.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":32.3100,"methodology":"fee schedule"}]}]},{"description":"Chromosome Analysis 15-20","code_information":[
                 { "code": "83890", "type": "CPT" } ],"standard_charges":[{"minimum":5.6000,"maximum":5.7400,"gross_charge":685.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.6000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.7400,"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 Commercial","standard_charge_dollar":5.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.6800,"methodology":"fee schedule"}]}]},{"description":"Hla Ii Type 1 Ag Equiv Lr","code_information":[
                 { "code": "83891", "type": "CPT" } ],"standard_charges":[{"minimum":5.6800,"maximum":5.7400,"gross_charge":325.0000,"setting":"outpatient","payers_information":[{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.6800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Nucleotidase","code_information":[
                 { "code": "83915", "type": "CPT" } ],"standard_charges":[{"minimum":11.1500,"maximum":42.2400,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.1900,"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":41.1800,"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 Health Maintenance Organization","standard_charge_dollar":15.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.1900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":42.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":42.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":41.1800,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":33.0000,"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":15.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.1500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":42.2400,"methodology":"fee schedule"}]}]},{"description":"Oligoclonal Bands","code_information":[
                 { "code": "83916", "type": "CPT" } ],"standard_charges":[{"minimum":27.3900,"maximum":75.0000,"gross_charge":217.0000,"setting":"outpatient","payers_information":[{"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","standard_charge_dollar":27.3900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.8000,"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":28.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":33.1500,"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"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":28.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.1500,"methodology":"fee schedule"}]}]},{"description":"Organic Acids Total Quant","code_information":[
                 { "code": "83918", "type": "CPT" } ],"standard_charges":[{"minimum":22.4100,"maximum":180.0000,"gross_charge":540.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.4100,"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":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":131.6300,"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":131.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":23.6000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":66.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.4100,"methodology":"fee schedule"}]}]},{"description":"Organic Acids Qual Each","code_information":[
                 { "code": "83919", "type": "CPT" } ],"standard_charges":[{"minimum":16.4500,"maximum":225.0000,"gross_charge":289.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.3500,"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":25.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.4100,"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":26.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0000,"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":22.4100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.4500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.4100,"methodology":"fee schedule"}]}]},{"description":"Organic Acid Single Quant","code_information":[
                 { "code": "83921", "type": "CPT" } ],"standard_charges":[{"minimum":21.2100,"maximum":125.0000,"gross_charge":175.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":21.2100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":22.7500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":23.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.4100,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.4100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Osmolality","code_information":[
                 { "code": "83930", "type": "CPT" } ],"standard_charges":[{"minimum":6.6100,"maximum":28.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.6100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.0100,"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":14.6300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.0100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.0100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Osmolality","code_information":[
                 { "code": "83935", "type": "CPT" } ],"standard_charges":[{"minimum":6.8200,"maximum":28.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.6500,"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":9.2900,"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":9.2900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.1600,"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":17.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":9.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":17.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.6000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.6000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.8200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.7600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.2900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Osteocalcin","code_information":[
                 { "code": "83937", "type": "CPT" } ],"standard_charges":[{"minimum":29.8500,"maximum":98.7400,"gross_charge":148.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":29.8500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":42.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":42.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":98.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":98.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":98.7400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":96.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":93.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":96.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":40.6600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":98.7400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":77.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":42.7600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Oxalate","code_information":[
                 { "code": "83945", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":40.0000,"gross_charge":65.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.4500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.5300,"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 Health Maintenance Organization","standard_charge_dollar":18.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.2500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.5300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Parathormone","code_information":[
                 { "code": "83970", "type": "CPT" } ],"standard_charges":[{"minimum":39.3600,"maximum":104.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":104.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":104.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.3600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.3600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":39.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":58.0800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":58.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":39.3600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":41.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":41.2800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":58.0800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":58.0800,"methodology":"fee schedule"}]}]},{"description":"Assay Ph Body Fluid Nos","code_information":[
                 { "code": "83986", "type": "CPT" } ],"standard_charges":[{"minimum":1.9500,"maximum":5.0700,"gross_charge":10.0000,"setting":"outpatient","payers_information":[{"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":4.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":3.5800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.0700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":2.0000,"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 Health Maintenance Organization","standard_charge_dollar":1.9500,"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":1.9500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":4.7900,"methodology":"fee schedule"}]}]},{"description":"Assay For Calprotectin Fecal","code_information":[
                 { "code": "83993", "type": "CPT" } ],"standard_charges":[{"minimum":21.3700,"maximum":21.3700,"gross_charge":308.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.3700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.3700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Blood Pku","code_information":[
                 { "code": "84030", "type": "CPT" } ],"standard_charges":[{"minimum":5.5000,"maximum":73.0000,"gross_charge":130.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":12.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":73.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.1800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":12.1800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.4900,"methodology":"fee schedule"}]}]},{"description":"Assay Prostate Phosphatase","code_information":[
                 { "code": "84066", "type": "CPT" } ],"standard_charges":[{"minimum":9.6600,"maximum":31.0000,"gross_charge":31.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":9.6600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":13.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.6800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.1600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":13.8400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.5500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.1600,"methodology":"fee schedule"}]}]},{"description":"Assay Alkaline Phosphatase","code_information":[
                 { "code": "84075", "type": "CPT" } ],"standard_charges":[{"minimum":5.1800,"maximum":10.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"}]}]},{"description":"Assay Alkaline Phosphatase","code_information":[
                 { "code": "84078", "type": "CPT" } ],"standard_charges":[{"minimum":8.2600,"maximum":25.0000,"gross_charge":92.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.9500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.9500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":8.2600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.9500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.9500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.9500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.9500,"methodology":"fee schedule"}]}]},{"description":"Assay Alkaline Phosphatases","code_information":[
                 { "code": "84080", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":52.0000,"gross_charge":70.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.7800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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":26.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.1400,"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":25.3500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.1400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Phosphorus","code_information":[
                 { "code": "84100", "type": "CPT" } ],"standard_charges":[{"minimum":4.5200,"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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":4.7400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.4600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.5200,"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":6.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.4600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.4600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":6.7900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Phosphorus","code_information":[
                 { "code": "84105", "type": "CPT" } ],"standard_charges":[{"minimum":5.7800,"maximum":14.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.7800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Porphobilinogen","code_information":[
                 { "code": "84110", "type": "CPT" } ],"standard_charges":[{"minimum":8.4400,"maximum":31.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.9600,"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":12.0000,"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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.5000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.7000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.5000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.1000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Porphyrins","code_information":[
                 { "code": "84120", "type": "CPT" } ],"standard_charges":[{"minimum":12.0000,"maximum":49.0000,"gross_charge":104.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.0400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":30.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.7100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":37.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":37.7600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":37.7600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":36.8200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":36.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.0400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.0400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":37.7600,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.1000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serum Potassium","code_information":[
                 { "code": "84132", "type": "CPT" } ],"standard_charges":[{"minimum":4.7600,"maximum":10.0000,"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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":4.7600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.2600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"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":6.2600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.2600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":6.5800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Potassium","code_information":[
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                 { "code": "84134", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":30.0000,"gross_charge":126.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.5900,"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 Medicare Avantage","standard_charge_dollar":17.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.6500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.8700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.4500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.8700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Pregnenolone","code_information":[
                 { "code": "84140", "type": "CPT" } ],"standard_charges":[{"minimum":20.6700,"maximum":80.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.1600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":20.6700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":29.2900,"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":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.1600,"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":29.2500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":29.6100,"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":29.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.1600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of 17-hydroxypregneno","code_information":[
                 { "code": "84143", "type": "CPT" } ],"standard_charges":[{"minimum":22.8100,"maximum":100.0000,"gross_charge":168.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":31.0800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":22.8100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":32.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":31.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":56.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":32.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":31.0800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":53.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":54.8400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":32.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":31.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":54.8400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":56.2500,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":31.0800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Progesterone","code_information":[
                 { "code": "84144", "type": "CPT" } ],"standard_charges":[{"minimum":20.8600,"maximum":65.0000,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":20.8600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":29.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.4200,"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":37.0500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":37.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Prolactin","code_information":[
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                 { "code": "84181", "type": "CPT" } ],"standard_charges":[{"minimum":17.0300,"maximum":35.0000,"gross_charge":300.0000,"setting":"outpatient","payers_information":[{"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":23.2000,"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":23.2000,"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":23.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":17.0300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.0900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.9700,"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 Medicare Avantage","standard_charge_dollar":23.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.2000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.2000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":19.0900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.2000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC 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"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.2000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Rbc Protoporphyrin","code_information":[
                 { "code": "84202", "type": "CPT" } ],"standard_charges":[{"minimum":14.1300,"maximum":48.0000,"gross_charge":119.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.5400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":20.1900,"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":22.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":21.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.3500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.1300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.5400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Proinsulin","code_information":[
                 { "code": "84206", "type": "CPT" } ],"standard_charges":[{"minimum":24.2600,"maximum":235.0000,"gross_charge":260.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":26.6900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":25.5200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":235.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.2600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin B-6","code_information":[
                 { "code": "84207", "type": "CPT" } ],"standard_charges":[{"minimum":26.7900,"maximum":149.7400,"gross_charge":168.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":38.2700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":149.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":38.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":39.8000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":40.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":149.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":149.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":38.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":146.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":40.2400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":149.7400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"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":38.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":38.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":28.1000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Pyruvate","code_information":[
                 { "code": "84210", "type": "CPT" } ],"standard_charges":[{"minimum":11.8300,"maximum":57.2400,"gross_charge":109.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.7900,"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":11.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":57.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":57.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":57.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":55.8100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":57.2400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":53.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.4800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.7900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Quinine","code_information":[
                 { "code": "84228", "type": "CPT" } ],"standard_charges":[{"minimum":11.6300,"maximum":25.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.6300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.8500,"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":15.8500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":16.6600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.8500,"methodology":"fee schedule"}]}]},{"description":"Immunoassay Quant Nos Nonab","code_information":[
                 { "code": "84235", "type": "CPT" } ],"standard_charges":[{"minimum":17.2700,"maximum":144.0000,"gross_charge":160.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":144.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":144.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":35.1100,"methodology":"fee schedule"}]}]},{"description":"Assay Nonendocrine Receptor","code_information":[
                 { "code": "84238", "type": "CPT" } ],"standard_charges":[{"minimum":18.4000,"maximum":153.4900,"gross_charge":195.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":153.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":153.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":35.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":50.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":104.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":104.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":36.5700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.1600,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":122.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Renin","code_information":[
                 { "code": "84244", "type": "CPT" } ],"standard_charges":[{"minimum":21.9900,"maximum":85.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.9600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":80.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":31.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":29.9600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":31.5100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":80.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":80.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":78.7200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":80.7400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":21.9900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.5100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.9600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin B-2","code_information":[
                 { "code": "84252", "type": "CPT" } ],"standard_charges":[{"minimum":20.2400,"maximum":225.0000,"gross_charge":174.0000,"setting":"outpatient","payers_information":[{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":20.2400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.5700,"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":27.5700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":28.9900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.5700,"methodology":"fee schedule"}]}]},{"description":"Assay Of Selenium","code_information":[
                 { "code": "84255", "type": "CPT" } ],"standard_charges":[{"minimum":25.5300,"maximum":150.0000,"gross_charge":116.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":34.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":34.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":25.5300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":34.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":34.8300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":34.8300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serotonin","code_information":[
                 { "code": "84260", "type": "CPT" } ],"standard_charges":[{"minimum":24.5300,"maximum":137.2400,"gross_charge":187.0000,"setting":"outpatient","payers_information":[{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":42.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":43.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":137.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":137.2400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":137.2400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":112.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":42.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":133.8100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":133.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":42.2000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":42.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":30.9800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":42.2000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":24.5300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sex Hormone Globul","code_information":[
                 { "code": "84270", "type": "CPT" } ],"standard_charges":[{"minimum":14.6300,"maximum":60.0000,"gross_charge":108.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.6100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":31.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":29.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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":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":"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":29.6100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.6300,"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":14.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.6100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":21.7300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.6100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":31.1300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sialic Acid","code_information":[
                 { "code": "84275", "type": "CPT" } ],"standard_charges":[{"minimum":13.4400,"maximum":60.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":19.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.3000,"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":18.3000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.4400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.3000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Serum Sodium","code_information":[
                 { "code": "84295", "type": "CPT" } ],"standard_charges":[{"minimum":4.8100,"maximum":8.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.5600,"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":7.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.5600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.5600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":4.8100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.5600,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine Sodium","code_information":[
                 { "code": "84300", "type": "CPT" } ],"standard_charges":[{"minimum":5.0600,"maximum":8.0000,"gross_charge":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.6300,"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":5.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.0600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Sweat Sodium","code_information":[
                 { "code": "84302", "type": "CPT" } ],"standard_charges":[{"minimum":4.8600,"maximum":10.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":4.8600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.6300,"methodology":"fee schedule"}]}]},{"description":"Assay Of Somatomedin","code_information":[
                 { "code": "84305", "type": "CPT" } ],"standard_charges":[{"minimum":21.2600,"maximum":141.4900,"gross_charge":182.0000,"setting":"outpatient","payers_information":[{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":114.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":141.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":128.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":21.2600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":30.4500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":141.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":141.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":141.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":137.9500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":26.0600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":134.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.9600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.9600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":30.4500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Somatostatin","code_information":[
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                 { "code": "84432", "type": "CPT" } ],"standard_charges":[{"minimum":16.0600,"maximum":140.0000,"gross_charge":82.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":82.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":21.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.8800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Total Thyroxine","code_information":[
                 { "code": "84436", "type": "CPT" } ],"standard_charges":[{"minimum":6.5500,"maximum":20.0000,"gross_charge":12.0000,"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":6.7300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.7300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.8700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.3500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":9.8400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Neonatal Thyroxine","code_information":[
                 { "code": "84437", "type": "CPT" } ],"standard_charges":[{"minimum":6.4700,"maximum":15.4900,"gross_charge":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.8100,"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":8.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.1700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":15.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.1000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.4900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Free Thyroxine","code_information":[
                 { "code": "84439", "type": "CPT" } ],"standard_charges":[{"minimum":8.6000,"maximum":30.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.2800,"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":9.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":19.4900,"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 Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":19.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":9.0200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Thyroid Activity","code_information":[
                 { "code": "84442", "type": "CPT" } ],"standard_charges":[{"minimum":14.7800,"maximum":75.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.1400,"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":58.2500,"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":20.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.9500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":59.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":59.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.1400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":58.2500,"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":20.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.1400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.7800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":59.7400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Thyroid Stim Hormone","code_information":[
                 { "code": "84443", "type": "CPT" } ],"standard_charges":[{"minimum":16.0200,"maximum":50.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"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":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.8000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":24.0600,"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":22.0800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":16.4600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":23.6400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":16.4600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.0600,"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":22.8900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.8000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Tsi Globulin","code_information":[
                 { "code": "84445", "type": "CPT" } ],"standard_charges":[{"minimum":48.4900,"maximum":160.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":69.2700,"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":48.4900,"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":69.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":72.0200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":72.8300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":69.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":68.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":69.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":69.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":50.8600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":72.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin E","code_information":[
                 { "code": "84446", "type": "CPT" } ],"standard_charges":[{"minimum":14.1800,"maximum":65.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.3100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":59.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":61.1700,"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":19.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":62.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":62.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":61.1700,"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":19.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.3100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":62.7400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.3100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Transcortin","code_information":[
                 { "code": "84449", "type": "CPT" } ],"standard_charges":[{"minimum":18.0000,"maximum":40.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.1500,"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":24.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.5200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.1500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":25.7800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.5200,"methodology":"fee schedule"}]}]},{"description":"Transferase (ast) (sgot)","code_information":[
                 { "code": "84450", "type": "CPT" } ],"standard_charges":[{"minimum":5.1800,"maximum":10.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.0500,"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":7.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.3600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"}]}]},{"description":"Alanine Amino (alt) (sgpt)","code_information":[
                 { "code": "84460", "type": "CPT" } ],"standard_charges":[{"minimum":5.3000,"maximum":10.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.5700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.2200,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.3000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.5800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.2200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Transferrin","code_information":[
                 { "code": "84466", "type": "CPT" } ],"standard_charges":[{"minimum":12.7600,"maximum":35.0000,"gross_charge":42.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.3900,"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":29.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.3900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.2900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.3900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.7600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.2900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Triglycerides","code_information":[
                 { "code": "84478", "type": "CPT" } ],"standard_charges":[{"minimum":5.7400,"maximum":15.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.8300,"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":14.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.8300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.2400,"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":15.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.2400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":13.0000,"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":7.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.8300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Thyroid (t3 Or T4)","code_information":[
                 { "code": "84479", "type": "CPT" } ],"standard_charges":[{"minimum":6.1700,"maximum":15.0000,"gross_charge":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S 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":13.0000,"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":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.3400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.8100,"methodology":"fee schedule"}]}]},{"description":"Assay Triiodothyronine (t3)","code_information":[
                 { "code": "84480", "type": "CPT" } ],"standard_charges":[{"minimum":14.1800,"maximum":45.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.3100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.7700,"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":19.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.4000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":25.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.7700,"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":19.3100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.4000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"}]}]},{"description":"Free Assay (ft-3)","code_information":[
                 { "code": "84481", "type": "CPT" } ],"standard_charges":[{"minimum":16.1500,"maximum":115.0000,"gross_charge":70.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.0700,"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":16.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":48.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":48.4900,"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 Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":47.2800,"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":23.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":48.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":115.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"}]}]},{"description":"T3 Reverse","code_information":[
                 { "code": "84482", "type": "CPT" } ],"standard_charges":[{"minimum":11.0200,"maximum":100.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.4700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":21.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.3300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":11.0200,"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":40.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.4700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":39.0000,"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":21.4700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.7600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.0200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Troponin Quant","code_information":[
                 { "code": "84484", "type": "CPT" } ],"standard_charges":[{"minimum":8.8100,"maximum":35.0000,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.4000,"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":24.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.4000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.4000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.3800,"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":13.4000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.4000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.4700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.8100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Tyrosine","code_information":[
                 { "code": "84510", "type": "CPT" } ],"standard_charges":[{"minimum":10.6300,"maximum":20.0000,"gross_charge":247.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.1700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.1700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.1700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.1700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":10.6300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.1700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urea Nitrogen","code_information":[
                 { "code": "84520", "type": "CPT" } ],"standard_charges":[{"minimum":3.7700,"maximum":10.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.3800,"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":3.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.3800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":5.6500,"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":8.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.8000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.6500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.3800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Urine\/urea-n","code_information":[
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                 { "code": "84586", "type": "CPT" } ],"standard_charges":[{"minimum":28.0000,"maximum":162.4900,"gross_charge":231.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":29.8000,"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":158.4300,"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":29.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.9800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":50.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":162.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":162.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":29.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":158.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":29.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":148.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":35.3300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":50.6100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":29.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":162.4900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vasopressin","code_information":[
                 { "code": "84588", "type": "CPT" } ],"standard_charges":[{"minimum":33.9400,"maximum":162.4900,"gross_charge":190.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":46.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":132.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":33.9400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":48.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":46.2400,"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 Health Maintenance Organization","standard_charge_dollar":48.0800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":162.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":162.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":46.2400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":158.4300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":48.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":46.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":158.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":46.2400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":162.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":148.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin A","code_information":[
                 { "code": "84590", "type": "CPT" } ],"standard_charges":[{"minimum":11.6100,"maximum":75.7400,"gross_charge":70.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.8100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":71.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":73.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":75.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.8100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":75.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":75.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.8100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":73.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.8100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":75.7400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.6100,"methodology":"fee schedule"}]}]},{"description":"Assay Of Nos Vitamin","code_information":[
                 { "code": "84591", "type": "CPT" } ],"standard_charges":[{"minimum":15.8100,"maximum":25.0000,"gross_charge":92.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.8100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":17.0600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.8100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.8100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.8100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.8100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Vitamin K","code_information":[
                 { "code": "84597", "type": "CPT" } ],"standard_charges":[{"minimum":13.7200,"maximum":26.0000,"gross_charge":189.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6900,"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":18.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.4200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":19.6300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.6900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.7200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.6900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Assay Of Volatiles","code_information":[
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                 { "code": "85045", "type": "CPT" } ],"standard_charges":[{"minimum":3.9900,"maximum":10.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.4500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":3.9900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.4500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.4500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Automated Leukocyte Count","code_information":[
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                 { "code": "85520", "type": "CPT" } ],"standard_charges":[{"minimum":13.0900,"maximum":25.0000,"gross_charge":108.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.0900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.8300,"methodology":"fee schedule"}]}]},{"description":"Rbc Mechanical Fragility","code_information":[
                 { "code": "85547", "type": "CPT" } ],"standard_charges":[{"minimum":5.0000,"maximum":10.0000,"gross_charge":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":9.3400,"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":6.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"}]}]},{"description":"Muramidase","code_information":[
                 { "code": "85549", "type": "CPT" } ],"standard_charges":[{"minimum":18.7500,"maximum":78.2400,"gross_charge":126.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":78.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":26.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":25.5400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":26.8700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":78.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":78.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":76.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":78.2400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":76.0000,"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":25.5400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":76.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.8700,"methodology":"fee schedule"}]}]},{"description":"Phospholipid Pltlt Neutraliz","code_information":[
                 { "code": "85597", "type": "CPT" } ],"standard_charges":[{"minimum":17.9800,"maximum":30.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":19.3400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":17.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":19.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Hexagnal Phosph Pltlt Neutrl","code_information":[
                 { "code": "85598", "type": "CPT" } ],"standard_charges":[{"minimum":17.9800,"maximum":25.3000,"gross_charge":195.0000,"setting":"outpatient","payers_information":[{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":25.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":25.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":24.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":17.9800,"methodology":"fee schedule"}]}]},{"description":"Prothrombin Time","code_information":[
                 { "code": "85610", "type": "CPT" } ],"standard_charges":[{"minimum":3.4000,"maximum":12.0000,"gross_charge":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.3600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.7500,"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":5.5600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":5.6200,"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":4.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.2000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":3.4000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.3600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":4.2900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.2000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Prothrombin Test","code_information":[
                 { "code": "85611", "type": "CPT" } ],"standard_charges":[{"minimum":3.9400,"maximum":8.5400,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":5.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.3700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":5.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":8.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.5400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.3700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":8.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":5.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.3700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":3.9400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":5.6400,"methodology":"fee schedule"}]}]},{"description":"Russell Viper Venom Diluted","code_information":[
                 { "code": "85612", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":39.0000,"gross_charge":93.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":38.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.2400,"methodology":"fee schedule"}]}]},{"description":"Russell Viper Venom Diluted","code_information":[
                 { "code": "85613", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":39.0000,"gross_charge":93.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":9.5800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.0500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.0500,"methodology":"fee schedule"}]}]},{"description":"Reptilase Test","code_information":[
                 { "code": "85635", "type": "CPT" } ],"standard_charges":[{"minimum":9.8500,"maximum":15.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.4100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.4100,"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":13.4100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":14.1000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.4100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":9.8500,"methodology":"fee schedule"}]}]},{"description":"Rbc Sed Rate Nonautomated","code_information":[
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                 { "code": "86403", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":65.0000,"gross_charge":275.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":63.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":63.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.5400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":14.6000,"methodology":"fee schedule"}]}]},{"description":"Deoxyribonuclease Antibody","code_information":[
                 { "code": "86406", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":60.0000,"gross_charge":13.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.4900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.4900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.4900,"methodology":"fee schedule"}]}]},{"description":"Rheumatoid Factor Test Qual","code_information":[
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                 { "code": "86592", "type": "CPT" } ],"standard_charges":[{"minimum":4.0700,"maximum":11.7400,"gross_charge":10.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":5.8200,"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":5.8200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.3900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC 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"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life 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":"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":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":5.8200,"methodology":"fee schedule"}]}]},{"description":"Antinomyces Antibody","code_information":[
                 { "code": "86602", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":15.0000,"gross_charge":196.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":13.8700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":13.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":13.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.8700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":13.8700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":13.8700,"methodology":"fee schedule"}]}]},{"description":"Adenovirus Antibody","code_information":[
                 { "code": "86603", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":67.0000,"gross_charge":198.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.8700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":66.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":66.7400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":66.7400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":65.0700,"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":65.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":66.7400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":67.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"}]}]},{"description":"Aspergillus Antibody","code_information":[
                 { "code": "86606", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":80.0000,"gross_charge":140.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.9600,"methodology":"fee schedule"},{"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 Medicare Avantage","standard_charge_dollar":19.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":56.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":56.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.9600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":54.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.9600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":56.2400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":54.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.9600,"methodology":"fee schedule"}]}]},{"description":"Bartonella Antibody","code_information":[
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                 { "code": "86713", "type": "CPT" } ],"standard_charges":[{"minimum":15.3000,"maximum":99.4900,"gross_charge":175.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.8500,"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":20.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":21.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":99.4900,"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":20.8500,"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":20.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.8500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":99.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":99.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":97.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.8500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.9200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.8500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.8500,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":99.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":99.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":97.0000,"methodology":"fee schedule"}]}]},{"description":"Leishmania Antibody","code_information":[
                 { "code": "86717", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":25.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"}]}]},{"description":"Listeria Monocytogenes","code_information":[
                 { "code": "86723", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":25.0000,"gross_charge":200.0000,"setting":"outpatient","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"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":17.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.9700,"methodology":"fee schedule"}]}]},{"description":"Lymph Choriomeningitis Ab","code_information":[
                 { "code": "86727", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":60.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.5200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.5200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.8700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.5200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.5200,"methodology":"fee schedule"}]}]},{"description":"Mumps Antibody","code_information":[
                 { "code": "86735", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":62.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.7700,"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 Health Maintenance Organization","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":49.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":49.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":48.2500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":49.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":17.7700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.0500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":48.2500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.7700,"methodology":"fee schedule"}]}]},{"description":"Mycoplasma Antibody","code_information":[
                 { "code": "86738", "type": "CPT" } ],"standard_charges":[{"minimum":12.6300,"maximum":67.8600,"gross_charge":98.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.0400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":66.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":67.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":67.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.7600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.9700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":67.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":67.8600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":66.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.2400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.2400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.9700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":67.8600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":67.8600,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.0400,"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":18.0400,"methodology":"fee schedule"}]}]},{"description":"Neisseria Meningitidis","code_information":[
                 { "code": "86741", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":25.0000,"gross_charge":400.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":18.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":18.6800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":18.6800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.6800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":17.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":18.6800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"}]}]},{"description":"Parvovirus Antibody","code_information":[
                 { "code": "86747", "type": "CPT" } ],"standard_charges":[{"minimum":15.0300,"maximum":96.0000,"gross_charge":66.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","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":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.4800,"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":20.4800,"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":64.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC 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":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.5300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.1600,"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 Medicare Avantage","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":96.0000,"methodology":"fee schedule"}]}]},{"description":"Malaria Antibody","code_information":[
                 { "code": "86750", "type": "CPT" } ],"standard_charges":[{"minimum":13.1900,"maximum":300.0000,"gross_charge":319.0000,"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":17.9700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.1900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":17.9700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.8900,"methodology":"fee schedule"}]}]},{"description":"Protozoa Antibody Nos","code_information":[
                 { "code": "86753", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":15.0000,"gross_charge":185.0000,"setting":"outpatient","payers_information":[{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.2500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":12.3900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.9100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.2500,"methodology":"fee schedule"}]}]},{"description":"Rickettsia Antibody","code_information":[
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                 { "code": "86762", "type": "CPT" } ],"standard_charges":[{"minimum":14.3900,"maximum":60.0000,"gross_charge":98.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.6100,"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":14.8500,"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":14.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.3900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.8500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.3900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.2300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.2300,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":15.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.2300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Rubeola Antibody","code_information":[
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                 { "code": "86774", "type": "CPT" } ],"standard_charges":[{"minimum":14.8000,"maximum":85.0000,"gross_charge":91.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.1600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.1600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.1600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.1600,"methodology":"fee schedule"}]}]},{"description":"Toxoplasma Antibody","code_information":[
                 { "code": "86777", "type": "CPT" } ],"standard_charges":[{"minimum":14.2500,"maximum":60.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.6100,"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":19.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.3900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.3800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.6100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.3900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.3800,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Toxoplasma Antibody Igm","code_information":[
                 { "code": "86778", "type": "CPT" } ],"standard_charges":[{"minimum":14.4100,"maximum":75.0000,"gross_charge":105.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.6200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":41.9300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":41.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":41.9300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.6200,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.4100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.2900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.2900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.6200,"methodology":"fee schedule"}]}]},{"description":"Treponema Pallidum","code_information":[
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                 { "code": "86804", "type": "CPT" } ],"standard_charges":[{"minimum":15.4900,"maximum":210.0000,"gross_charge":235.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.4900,"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":21.1000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":210.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":22.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.1000,"methodology":"fee schedule"}]}]},{"description":"Hla Typing A B Or C","code_information":[
                 { "code": "86812", "type": "CPT" } ],"standard_charges":[{"minimum":25.8100,"maximum":100.0000,"gross_charge":85.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":35.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":85.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":87.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":35.1600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":36.9600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":87.2400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":87.2400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":35.1600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":85.0600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":87.2400,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":67.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":35.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":25.8100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":36.9600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":35.1600,"methodology":"fee schedule"}]}]},{"description":"Hla Typing A B Or C","code_information":[
                 { "code": "86813", "type": "CPT" } ],"standard_charges":[{"minimum":58.0000,"maximum":305.0000,"gross_charge":570.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":83.0600,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":208.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":58.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":83.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":305.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"}]}]},{"description":"Immunology Procedure","code_information":[
                 { "code": "86849", "type": "CPT" } ],"standard_charges":[{"minimum":145.0000,"maximum":315.0000,"gross_charge":315.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":315.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"}]}]},{"description":"Rbc Antibody Identification","code_information":[
                 { "code": "86870", "type": "CPT" } ],"standard_charges":[{"minimum":45.0000,"maximum":108.5000,"gross_charge":70.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":53.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":108.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":53.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":53.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":53.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":53.4900,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":53.4900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":70.0000,"methodology":"fee schedule"}]}]},{"description":"Coombs Test Direct","code_information":[
                 { "code": "86880", "type": "CPT" } ],"standard_charges":[{"minimum":5.3900,"maximum":15.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":5.4900,"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 Medicare Avantage","standard_charge_dollar":7.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":5.4900,"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":7.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.3300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.3900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"}]}]},{"description":"Coombs Test Indirect Qual","code_information":[
                 { "code": "86885", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":7.0000,"gross_charge":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Blood Typing Serologic Abo","code_information":[
                 { "code": "86900", "type": "CPT" } ],"standard_charges":[{"minimum":5.9800,"maximum":20.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":8.1400,"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":10.4900,"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":8.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":8.5400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":8.1400,"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":8.1400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":8.1400,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":8.5400,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"}]}]},{"description":"Blood Typing Serologic Rh(d)","code_information":[
                 { "code": "86901", "type": "CPT" } ],"standard_charges":[{"minimum":2.9900,"maximum":10.0000,"gross_charge":10.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.1500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life 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":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":2.9900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":4.0700,"methodology":"fee schedule"}]}]},{"description":"Compatibility Test Antiglob","code_information":[
                 { "code": "86922", "type": "CPT" } ],"standard_charges":[{"minimum":80.0000,"maximum":80.0000,"gross_charge":125.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":80.0000,"methodology":"fee schedule"}]}]},{"description":"Immunoassay Quant Nos Nonab","code_information":[
                 { "code": "87001", "type": "CPT" } ],"standard_charges":[{"minimum":12.1900,"maximum":25.0000,"gross_charge":200.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Immunoassay Quant Nos Nonab","code_information":[
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                 { "code": "87040", "type": "CPT" } ],"standard_charges":[{"minimum":10.3200,"maximum":35.0000,"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":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.3800,"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":24.3800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":10.3200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.0700,"methodology":"fee schedule"}]}]},{"description":"Feces Culture Aerobic Bact","code_information":[
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                 { "code": "87084", "type": "CPT" } ],"standard_charges":[{"minimum":11.7400,"maximum":27.0700,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":15.0300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":14.6500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":27.0700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.3400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.6500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"}]}]},{"description":"Urine Culture\/colony Count","code_information":[
                 { "code": "87086", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":32.0000,"gross_charge":2.0000,"setting":"outpatient","payers_information":[{"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":9.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":11.5700,"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":7.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.9100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":8.0700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.4300,"methodology":"fee schedule"}]}]},{"description":"Urine Bacteria Culture","code_information":[
                 { "code": "87088", "type": "CPT" } ],"standard_charges":[{"minimum":14.5500,"maximum":67.0000,"gross_charge":32.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.4600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":23.1700,"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":30.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":18.9400,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":29.2600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.4600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":32.6000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.1600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.1700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.4600,"methodology":"fee schedule"}]}]},{"description":"Skin Fungi Culture","code_information":[
                 { "code": "87101", "type": "CPT" } ],"standard_charges":[{"minimum":7.3500,"maximum":28.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":10.5000,"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":7.3500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":7.7100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":11.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":10.5000,"methodology":"fee schedule"}]}]},{"description":"Fungus Isolation Culture","code_information":[
                 { "code": "87102", "type": "CPT" } ],"standard_charges":[{"minimum":8.0200,"maximum":28.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.0200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.0300,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":8.4100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.4500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.4500,"methodology":"fee schedule"}]}]},{"description":"Blood Fungus Culture","code_information":[
                 { "code": "87103", "type": "CPT" } ],"standard_charges":[{"minimum":12.2800,"maximum":28.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":20.4600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"}]}]},{"description":"Fungi Identification Yeast","code_information":[
                 { "code": "87106", "type": "CPT" } ],"standard_charges":[{"minimum":10.3200,"maximum":25.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":10.3200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"}]}]},{"description":"Fungi Identification Mold","code_information":[
                 { "code": "87107", "type": "CPT" } ],"standard_charges":[{"minimum":10.3200,"maximum":25.0000,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":10.3200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Mycoplasma","code_information":[
                 { "code": "87109", "type": "CPT" } ],"standard_charges":[{"minimum":11.8900,"maximum":78.4900,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":76.5300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":78.4900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":78.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":40.0000,"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":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":52.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.3900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":78.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":78.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":20.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":78.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":78.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":76.5300,"methodology":"fee schedule"}]}]},{"description":"Chylmd Trach Dna Amp Probe","code_information":[
                 { "code": "87110", "type": "CPT" } ],"standard_charges":[{"minimum":27.3200,"maximum":120.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":26.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":86.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":86.9900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":86.9900,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":86.9900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":26.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":26.6900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":19.6000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":26.6900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":26.6900,"methodology":"fee schedule"}]}]},{"description":"Mycobacteria Culture","code_information":[
                 { "code": "87116", "type": "CPT" } ],"standard_charges":[{"minimum":10.8000,"maximum":15.4800,"gross_charge":40.0000,"setting":"outpatient","payers_information":[{"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":56.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.7100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":10.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":10.8000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime 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":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.7100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.7100,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":15.4800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":15.4800,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.4800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Culture Type Immunologic","code_information":[
                 { "code": "87140", "type": "CPT" } ],"standard_charges":[{"minimum":5.5700,"maximum":40.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.9000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.9000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.5700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.9000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.9800,"methodology":"fee schedule"}]}]},{"description":"Culture Type Immunologic","code_information":[
                 { "code": "87147", "type": "CPT" } ],"standard_charges":[{"minimum":5.1800,"maximum":10.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"}]}]},{"description":"Culture Typing Added Method","code_information":[
                 { "code": "87158", "type": "CPT" } ],"standard_charges":[{"minimum":7.1300,"maximum":10.3100,"gross_charge":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":7.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":7.1300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":7.1300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":10.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":7.1300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":7.1300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":7.7400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.0500,"methodology":"fee schedule"}]}]},{"description":"Pinworm Exam","code_information":[
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                 { "code": "87177", "type": "CPT" } ],"standard_charges":[{"minimum":3.5000,"maximum":12.7400,"gross_charge":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.1000,"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":6.1600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.8700,"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":8.8700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":9.1000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":8.9000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.7400,"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":9.1000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.7400,"methodology":"fee schedule"}]}]},{"description":"Sc Std Agar Dilution Per Agt","code_information":[
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                 { "code": "87280", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":95.8600,"gross_charge":120.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"}]}]},{"description":"Pneumocystis Carinii Ag If","code_information":[
                 { "code": "87281", "type": "CPT" } ],"standard_charges":[{"minimum":11.9800,"maximum":25.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"}]}]},{"description":"Antibody Detection Nos If","code_information":[
                 { "code": "87299", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":25.0000,"gross_charge":165.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8300,"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 Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.4300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":17.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.1000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.7600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":18.2200,"methodology":"fee schedule"}]}]},{"description":"Adenovirus Ag Ia","code_information":[
                 { "code": "87301", "type": "CPT" } ],"standard_charges":[{"minimum":11.9800,"maximum":25.0000,"gross_charge":550.0000,"setting":"outpatient","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Aspergillus Ag Ia","code_information":[
                 { "code": "87305", "type": "CPT" } ],"standard_charges":[{"minimum":11.9800,"maximum":19.2000,"gross_charge":390.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":15.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"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":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.9800,"methodology":"fee schedule"}]}]},{"description":"Clostridium Ag Ia","code_information":[
                 { "code": "87324", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":50.0000,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"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":14.8300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.9800,"methodology":"fee schedule"}]}]},{"description":"Cryptococcus Neoform Ag Ia","code_information":[
                 { "code": "87327", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":25.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.4200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"}]}]},{"description":"Cryptosporidium Ag Ia","code_information":[
                 { "code": "87328", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":60.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.8200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"}]}]},{"description":"Giardia Ag Ia","code_information":[
                 { "code": "87329", "type": "CPT" } ],"standard_charges":[{"minimum":11.8600,"maximum":500.0000,"gross_charge":77.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.8600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"}]}]},{"description":"Cytomegalovirus Ag Ia","code_information":[
                 { "code": "87332", "type": "CPT" } ],"standard_charges":[{"minimum":11.9800,"maximum":25.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Protozoa Antibody Nos","code_information":[
                 { "code": "87336", "type": "CPT" } ],"standard_charges":[{"minimum":8.3300,"maximum":15.0000,"gross_charge":185.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Entamoeb Hist Group Ag Ia","code_information":[
                 { "code": "87337", "type": "CPT" } ],"standard_charges":[{"minimum":10.3800,"maximum":25.0000,"gross_charge":95.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.4300,"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":10.3800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.4300,"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":14.3800,"maximum":23.0000,"gross_charge":112.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":19.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":19.5900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":20.6000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":19.5900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":19.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":19.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.3800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":20.6000,"methodology":"fee schedule"}]}]},{"description":"H Pylori Ag Ia","code_information":[
                 { "code": "87339", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":25.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"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":14.8300,"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 Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"}]}]},{"description":"Hepatitis B Surface Ag Ia","code_information":[
                 { "code": "87340", "type": "CPT" } ],"standard_charges":[{"minimum":9.8500,"maximum":55.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":13.1500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":10.3300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.7900,"methodology":"fee schedule"}]}]},{"description":"Hepatitis Be Ag Ia","code_information":[
                 { "code": "87350", "type": "CPT" } ],"standard_charges":[{"minimum":11.5300,"maximum":35.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.7000,"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":25.3500,"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":15.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.3200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":16.5100,"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":26.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":25.3500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.5300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":16.5100,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"}]}]},{"description":"Histoplasma Capsul Ag Ia","code_information":[
                 { "code": "87385", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":115.0000,"gross_charge":210.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":115.0000,"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":14.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":13.2500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"}]}]},{"description":"Hiv-1 Ag W\/hiv-1  -2 Ab Ag Ia","code_information":[
                 { "code": "87389", "type": "CPT" } ],"standard_charges":[{"minimum":22.9600,"maximum":35.0000,"gross_charge":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":22.9600,"methodology":"fee schedule"}]}]},{"description":"Rotavirus Ag Ia","code_information":[
                 { "code": "87425", "type": "CPT" } ],"standard_charges":[{"minimum":9.0000,"maximum":25.0000,"gross_charge":49.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"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":14.8300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"}]}]},{"description":"Sarscov Coronavirus Ag Ia","code_information":[
                 { "code": "87426", "type": "CPT" } ],"standard_charges":[{"minimum":30.0000,"maximum":47.4900,"gross_charge":80.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":42.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":31.6600,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":47.4900,"methodology":"fee schedule"}]}]},{"description":"Shiga-like Toxin Ag Ia","code_information":[
                 { "code": "87427", "type": "CPT" } ],"standard_charges":[{"minimum":11.9800,"maximum":25.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.4300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.4300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.4300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Strep A Ag Ia","code_information":[
                 { "code": "87430", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":16.8100,"gross_charge":35.0000,"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":14.8300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":16.8100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"N.gonorrhoeae Dna Amp Prob","code_information":[
                 { "code": "87449", "type": "CPT" } ],"standard_charges":[{"minimum":15.2200,"maximum":131.9800,"gross_charge":90.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":62.6300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":61.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":62.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":62.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":82.8300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":131.9800,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":70.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":47.0700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":61.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":62.6300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":62.6300,"methodology":"fee schedule"}]}]},{"description":"Lyme Dis Dna Amp Probe","code_information":[
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                 { "code": "87492", "type": "CPT" } ],"standard_charges":[{"minimum":47.6200,"maximum":95.0000,"gross_charge":150.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":53.4700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":50.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.6200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.6200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":50.0700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.6200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"}]}]},{"description":"C Diff Amplified Probe","code_information":[
                 { "code": "87493", "type": "CPT" } ],"standard_charges":[{"minimum":37.2700,"maximum":47.8000,"gross_charge":135.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":37.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"}]}]},{"description":"Cytomeg Dna Amp Probe","code_information":[
                 { "code": "87496", "type": "CPT" } ],"standard_charges":[{"minimum":35.0900,"maximum":50.2700,"gross_charge":340.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Enterovirus Proberevrs Trns","code_information":[
                 { "code": "87498", "type": "CPT" } ],"standard_charges":[{"minimum":35.0900,"maximum":56.0000,"gross_charge":475.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.8000,"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":47.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"}]}]},{"description":"Gardner Vag Dna Dir Probe","code_information":[
                 { "code": "87510", "type": "CPT" } ],"standard_charges":[{"minimum":20.0500,"maximum":30.0000,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":20.0500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Gardner Vag Dna Amp Probe","code_information":[
                 { "code": "87511", "type": "CPT" } ],"standard_charges":[{"minimum":35.0900,"maximum":50.2700,"gross_charge":75.0000,"setting":"outpatient","payers_information":[{"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":47.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Hepatitis B Dna Amp Probe","code_information":[
                 { "code": "87516", "type": "CPT" } ],"standard_charges":[{"minimum":27.0000,"maximum":30.0000,"gross_charge":402.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.7100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":172.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.8000,"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":47.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":49.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":47.7800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"}]}]},{"description":"Hepatitis B Dna Quant","code_information":[
                 { "code": "87517", "type": "CPT" } ],"standard_charges":[{"minimum":42.8400,"maximum":165.0000,"gross_charge":84.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":42.8400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":61.3500,"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":58.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":160.8800,"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":160.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"}]}]},{"description":"Hepatitis C Revrs Trnscrpj","code_information":[
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                 { "code": "87529", "type": "CPT" } ],"standard_charges":[{"minimum":35.0900,"maximum":50.2700,"gross_charge":275.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Hhv-6 Dna Quant","code_information":[
                 { "code": "87533", "type": "CPT" } ],"standard_charges":[{"minimum":41.7600,"maximum":60.0000,"gross_charge":390.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":59.1300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":59.7900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":59.1300,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":56.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":59.1300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":59.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":41.7600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":59.7900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":59.1300,"methodology":"fee schedule"}]}]},{"description":"Hiv-1 Quantrevrse Trnscrpj","code_information":[
                 { "code": "87536", "type": "CPT" } ],"standard_charges":[{"minimum":81.1400,"maximum":250.0000,"gross_charge":270.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":115.9200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":81.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":115.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":120.5200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":121.8800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":115.9200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":185.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":115.9200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":152.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":85.1000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":121.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":115.9200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"}]}]},{"description":"M.tuberculo Dna Amp Probe","code_information":[
                 { "code": "87556", "type": "CPT" } ],"standard_charges":[{"minimum":41.6800,"maximum":370.0000,"gross_charge":444.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":370.0000,"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":47.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":41.6800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"}]}]},{"description":"M.pneumon Dna Amp Probe","code_information":[
                 { "code": "87581", "type": "CPT" } ],"standard_charges":[{"minimum":33.4600,"maximum":50.2700,"gross_charge":325.0000,"setting":"outpatient","payers_information":[{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.8000,"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":47.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.4600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":50.2700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":35.0900,"methodology":"fee schedule"}]}]},{"description":"N.gonorrhoeae Dna Amp Prob","code_information":[
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                 { "code": "87591", "type": "CPT" } ],"standard_charges":[{"minimum":31.2000,"maximum":60.0000,"gross_charge":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":49.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":64.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":31.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":31.2000,"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":58.5200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"}]}]},{"description":"N.gonorrhoeae Dna Quant","code_information":[
                 { "code": "87592", "type": "CPT" } ],"standard_charges":[{"minimum":32.0000,"maximum":70.0000,"gross_charge":193.0000,"setting":"outpatient","payers_information":[{"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":58.3500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":42.8400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":58.3500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":61.3500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":58.3500,"methodology":"fee schedule"}]}]},{"description":"Hpv Low-risk Types","code_information":[
                 { "code": "87623", "type": "CPT" } ],"standard_charges":[{"minimum":15.0000,"maximum":47.8000,"gross_charge":375.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":35.0900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"}]}]},{"description":"Hpv Types 16  18 Only","code_information":[
                 { "code": "87625", "type": "CPT" } ],"standard_charges":[{"minimum":40.5500,"maximum":52.0300,"gross_charge":375.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":40.5500,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.8000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.8000,"methodology":"fee schedule"}]}]},{"description":"Sars-cov-2 Covid-19 Amp Prb","code_information":[
                 { "code": "87635", "type": "CPT" } ],"standard_charges":[{"minimum":51.3300,"maximum":51.3300,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":50.2800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":53.9000,"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":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":50.2800,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":51.3300,"methodology":"fee schedule"}]}]},{"description":"Trichomonas Vagin Dir Probe","code_information":[
                 { "code": "87660", "type": "CPT" } ],"standard_charges":[{"minimum":19.1200,"maximum":500.0000,"gross_charge":308.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":28.4000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":28.4000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":500.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.1200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":28.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":28.4000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":20.0500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":28.4000,"methodology":"fee schedule"}]}]},{"description":"Detect Agent Nos Dna Dir","code_information":[
                 { "code": "87797", "type": "CPT" } ],"standard_charges":[{"minimum":20.0000,"maximum":30.0300,"gross_charge":330.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":30.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":30.0300,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.3200,"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 Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.4000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":28.2200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":28.7200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"}]}]},{"description":"Detect Agent Nos Dna Amp","code_information":[
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                 { "code": "88269", "type": "CPT" } ],"standard_charges":[{"minimum":173.6000,"maximum":550.0000,"gross_charge":552.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":226.5700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":173.6000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":226.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":226.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":173.6600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":173.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":226.5700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":226.5700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":550.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":234.0000,"methodology":"fee schedule"}]}]},{"description":"Cytogenetics Dna Probe","code_information":[
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                 { "code": "88274", "type": "CPT" } ],"standard_charges":[{"minimum":42.3800,"maximum":800.0000,"gross_charge":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":47.4200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":49.8600,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita 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":800.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":47.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":47.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":42.3800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":49.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":47.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":47.4200,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":800.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":108.0000,"methodology":"fee schedule"}]}]},{"description":"Chromosome Karyotype Study","code_information":[
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                 { "code": "88285", "type": "CPT" } ],"standard_charges":[{"minimum":25.8800,"maximum":45.0000,"gross_charge":495.0000,"setting":"outpatient","payers_information":[{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Health Maintenance Organization","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Plan De Salud Menonita","plan_name":"Plan De Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"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":25.8800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":25.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":26.9100,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":25.8800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":25.8800,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":27.2100,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":25.8800,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Mapfre Life","plan_name":"Mapfre Life Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"}]}]},{"description":"Cyto\/molecular Report","code_information":[
                 { "code": "88291", "type": "CPT" } ],"standard_charges":[{"minimum":24.3700,"maximum":495.0000,"gross_charge":319.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":48.7700,"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":48.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.3700,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":495.0000,"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":25.0000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":48.7700,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Health Maintenance Organization","standard_charge_dollar":24.3700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":48.7700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":48.7700,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":495.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.3700,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":48.7700,"methodology":"fee schedule"},{"payer_name":"Blue Cross","plan_name":"Blue Cross Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Unlisted Cytogenetic Study","code_information":[
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                 { "code": "G6032", "type": "CPT" } ],"standard_charges":[{"minimum":16.0000,"maximum":72.0000,"gross_charge":99.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":24.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.4200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Doxepin","code_information":[
                 { "code": "G6034", "type": "CPT" } ],"standard_charges":[{"minimum":21.0900,"maximum":70.0000,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.0900,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.0900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.0900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":21.0900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.0900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":21.0900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.0900,"methodology":"fee schedule"}]}]},{"description":"Assay Of Imipramine","code_information":[
                 { "code": "G6036", "type": "CPT" } ],"standard_charges":[{"minimum":21.4900,"maximum":73.0000,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":23.4200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":23.4200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Salicylate","code_information":[
                 { "code": "G6038", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":20.0000,"gross_charge":58.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":9.6600,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":9.6600,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":9.6600,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":9.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":9.6600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":9.6600,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":9.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":9.6600,"methodology":"fee schedule"}]}]},{"description":"Analgesics Non-opioid 1 Or 2","code_information":[
                 { "code": "G6039", "type": "CPT" } ],"standard_charges":[{"minimum":16.5800,"maximum":60.0000,"gross_charge":105.0000,"setting":"outpatient","payers_information":[{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":27.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":27.5400,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":27.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":27.5400,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":27.5400,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":27.5400,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":27.5400,"methodology":"fee schedule"}]}]},{"description":"Assay Of Ethanol","code_information":[
                 { "code": "G6040", "type": "CPT" } ],"standard_charges":[{"minimum":14.7000,"maximum":43.0000,"gross_charge":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":14.7000,"methodology":"fee schedule"}]}]},{"description":"Drug Screen Amphetamines 1\/2","code_information":[
                 { "code": "G6042", "type": "CPT" } ],"standard_charges":[{"minimum":18.6400,"maximum":43.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.1500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.1500,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.1500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.1500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.1500,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.1500,"methodology":"fee schedule"}]}]},{"description":"Assay Of Barbiturates","code_information":[
                 { "code": "G6043", "type": "CPT" } ],"standard_charges":[{"minimum":15.5800,"maximum":43.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":15.5800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":15.5800,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":15.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":15.5800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":15.5800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":15.5800,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":15.5800,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":15.5800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Cocaine","code_information":[
                 { "code": "G6044", "type": "CPT" } ],"standard_charges":[{"minimum":20.6200,"maximum":50.0000,"gross_charge":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":20.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":20.6200,"methodology":"fee schedule"}]}]},{"description":"Assay Of Methadone","code_information":[
                 { "code": "G6053", "type": "CPT" } ],"standard_charges":[{"minimum":18.2600,"maximum":50.0000,"gross_charge":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":22.2200,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":22.2200,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":22.2200,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":22.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":22.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":22.2200,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","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"}]}]},{"description":"Assay Of Opiates","code_information":[
                 { "code": "G6056", "type": "CPT" } ],"standard_charges":[{"minimum":18.6400,"maximum":43.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":26.4800,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":26.4800,"methodology":"fee schedule"}]}]},{"description":"Assay Of Phenothiazine","code_information":[
                 { "code": "G6057", "type": "CPT" } ],"standard_charges":[{"minimum":18.6400,"maximum":43.0000,"gross_charge":20.0000,"setting":"outpatient","payers_information":[{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"PMC","plan_name":"PMC Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"MMM","plan_name":"MMM Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Avantage","standard_charge_dollar":21.1900,"methodology":"fee schedule"},{"payer_name":"Champva","plan_name":"Champva Commercial","standard_charge_dollar":21.1900,"methodology":"fee schedule"}]}]},{"description":"Drug Confirmation","code_information":[
                 { "code": "G6058", "type": "CPT" } ],"standard_charges":[{"minimum":18.0300,"maximum":43.0000,"gross_charge":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"Tricare Prime","plan_name":"Tricare Prime Commercial","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":"Tricare Prime","plan_name":"Tricare Prime Commercial","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":"Tricare Prime","plan_name":"Tricare Prime Commercial","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"Veterano","plan_name":"Veterano Commercial","standard_charge_dollar":18.0300,"methodology":"fee schedule"}]}]},{"description":"Sars-cov-2 Covid-19 Amp Prb","code_information":[
                 { "code": "U0001", "type": "CPT" } ],"standard_charges":[{"minimum":36.0000,"maximum":100.0000,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"}]}]},{"description":"Sars-cov-2 Covid-19 Amp Prb","code_information":[
                 { "code": "U0002", "type": "CPT" } ],"standard_charges":[{"minimum":36.0000,"maximum":100.0000,"gross_charge":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":76.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Classicare Medicare Avantage","standard_charge_dollar":76.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare","standard_charge_dollar":100.0000,"methodology":"fee schedule"}]}]}]}